Commercial, Medicare, and Medicaid risk adjustment resources | Cotiviti

Risk Adjustment

Improve your risk adjustment results with these resources from Cotiviti, including white papers and articles written by our senior risk adjustment experts.

Podcast: An innovation roadmap for risk adjustment strategies

Senior leaders from Cotiviti and Edifecs offer strategies for building scalable risk adjustment technology initiatives while navigating rising business and regulatory pressures.

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How to create a comprehensive risk adjustment program

Combine prospective, concurrent, and retrospective approaches for a comprehensive risk adjustment program.

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Preparing for 2026: Adapting to new risk adjustment regulations

Learn the impact of the latest changes in risk adjustment for 2026 and beyond.

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Risk adjustment in 2026: Key updates and strategic readiness

Watch our on-demand risk adjustment webinar in partnership with RISE as we dive into key regulatory updates and emerging policy trends in 2026.

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Unlocking business value through interoperability: 3 key strategies

Learn three essential strategies to help payers maximize the value of their interoperability investments as key industry deadlines draw closer.

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Risk adjustment: 4 strategies as CMS increases RADV audits

Learn how to prepare for CMS's new risk adjustment audit methodology for Medicare Advantage plans in 2025 and beyond.

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Key commercial risk adjustment updates as 2026 approaches

Learn about key changes to the commercial risk adjustment program from the 2026 Payment Notice as we offer key strategies for health plans to prepare and strengthen their efforts.

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3 updates from the 2026 CMS Final Rate Announcement

CMS has finalized a >5% payment increase in the Medicare Advantage and Part D Rate Announcement for calendar year 2026.

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Unlocking value from interoperability investments

Watch our on-demand RISE webinar to gain expert insights on how to navigate interoperability challenges, enhance data connectivity, and drive measurable value for your organization.

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Prepare for success in Medicare Advantage risk adjustment

Learn how to bolster risk adjustment efforts with our best practices.

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How interoperability drives business value

Learn key recommendations for healthcare payers to incorporate into their interoperability strategies for 2025 and beyond.

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The 2026 CMS Advance Notice: 3 key takeaways

Learn the key proposed updates for Medicare Advantage plans from a risk adjustment and quality perspective.

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Podcast: Driving lasting impact through interoperability

As TEFCA continues to evolve, Cotiviti joins the RISE Radio podcast to discuss key interoperability updates and strategies for 2025.

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Coding deep dive: Best practices to improve accuracy

Watch our deep dive into 2024 risk adjustment coding updates, anticipated impact, and long-term trends

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Partnering for success in 3 critical areas of risk adjustment

Discover best practices to improve your risk adjustment program and strengthen results and compliance.

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Improving risk adjustment: Integrating internal and external innovations

Watch our on-demand webinar as we highlight key considerations for combining in-house risk adjustment capabilities with vendor partnerships to strengthen results and compliance.

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How your risk adjustment partner can drive value

Discover how health plans can gain better risk adjustment results using external solutions to improve retrieval results, advance interoperability, and drive coding accuracy.

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Navigating new frontiers in risk adjustment

Cotiviti's Katie Sender, vice president of clinical and coding services, explains how Cotiviti is helping payers navigate to better risk adjustment outcomes.

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Navigating new frontiers in interoperability

Discover insights from Cotiviti on overcoming challenges in healthcare interoperability and data exchange in the digital age.

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10 tips for a successful commercial risk adjustment program

Learn how to enhance coding accuracy, retrieval rates, and overall commercial risk adjustment program results.

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