3 key risk adjustment strategies to drive success in 2024
Cotiviti examines three strategies to improve risk adjustment outcomes for Medicare Advantage plans in 2024 and beyond.
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Our latest healthcare payer resources
These resources from Cotiviti help power better payment integrity, risk adjustment, quality reporting, and consumer engagement programs for healthcare payers.
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Unlock the "Total Value" of your payment integrity program%%Attend our 4/30 webinar
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Total Value: How to build a better payment integrity program
Discover how your health plan can create a more valuable payment integrity program and drive down medical loss by reducing improper medical costs.
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Quality Decoded%%Attend our 4/25 webinar breaking down the CMS Final Rule
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Unlocking valuable SDoH data and connecting members to care with Eliza secure digital outreach
Learn how one large regional health plan reached >90% of its targeted members with multi-channel outreach.
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Podcast: The "Total Value" approach to payment integrity
Cotiviti's Matthew Hawley, EVP of payment integrity operations, leads a conversation on the dimensions of payment integrity value that go beyond medical cost savings.
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Breaking down NCQA public comment for HEDIS MY 2025
Watch our brief on-demand webinar as we review proposed HEDIS updates for MY 2025.
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Key risk adjustment trends to watch in 2024 and beyond
Watch our on-demand webinar as we explore strategies to leverage digital data effectively and enhance your risk adjustment efforts in 2024.
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Cotiviti named 2024 Best in KLAS® for payer quality measurement and reporting
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NCQA releases proposed HEDIS MY 2025 updates
Read our detailed breakdown of the HEDIS program changes the National Committee for Quality Assurance (NCQA) has proposed for Measurement Year (MY) 2025.
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Visit our YouTube channel%%Subscribe for our latest webinars and more
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Reviewing the 2025 CMS Advance Notice
Get an in-depth analysis of proposed changes to the CMS Star Ratings program from our on-demand webinar.
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3 interoperability updates for payers in 2024
Cotiviti breaks down three key updates for payers to track as TEFCA comes to life in 2024.
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3 takeaways from the 2025 Advance Notice
Learn how the 2025 CMS Advance Notice will impact Medicare Advantage risk adjustment and Star Ratings.
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Talk with an expert %% Learn more about how our solutions can help you meet your goals
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Busted: The top fraud schemes of Q4 2023
Some of the top alleged cases of healthcare fraud in Q4 2023 included falsified claims and exploitation of healthcare programs for Native Americans.
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FWA Insights: Examining a suspicious volume of HCPCS codes
Learn how overuse of HCPCS H2014 and HCPCS T1017 led to an FWA investigation by Cotiviti’s SIU.
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Preparing for 2024 trends in healthcare FWA: CPT code updates and beyond
Learn about critical updates to the 2024 CPT code set and other trends impacting healthcare payments.
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Closing the Gap%%Improve care gap closure through targeted quality improvement and member engagement
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Medicare Advantage plan reduces inappropriate payments by millions with Claim Pattern Review
Learn how one Medicare Advantage plan prevented more than $1 million inappropriate payments in less than a year with Claim Pattern Review.
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Close more care gaps for your members in 2024
In this new and comprehensive eBook, we explore 12 key focus areas for improving member care and quality scores with better messaging, collaboration, and prevention.
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Finding new opportunities to improve payment integrity with inpatient claim review
Learn how to reduce the burden of research and recovery for inpatient claims with a tailored pre and postpay approach.
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Program Integrity Pulse: Preparing for investigative FWA strategies in 2024
Learn about 2024 CPT code updates that may increase the potential for FWA as well as other anticipated trends.
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Avoid payment errors and increase savings with these resources
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Closing the Gap: Improving chronic disease screening and care
Learn how health plans can deliver better care to members with inflammatory bowel disease (IBD), including Crohn's and ulcerative colitis.
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Busted: The top healthcare fraud schemes of Q3 2023
Read about some of the most prominent alleged cases of healthcare fraud, waste, and abuse occurring during the third quarter of 2023.
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Progress Report: Medicaid Redetermination
Learn new strategies for engaging health plan members with multi-channel communications to limit disenrollment during the Medicaid redetermination process.
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