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Healthcare Payer Resources | Medicare Advantage, Medicaid, and Commercial Health Plans | Cotiviti

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Risk adjustment in 2026 (LinkedIn clip)

Risk adjustment in 2026 (LinkedIn clip)

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How Engagement Hub improves quality outcomes

Learn how health plans can view members holistically, identify care gaps, and create optimal target lists to drive better care and quality scores.

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How Engagement Hub improves quality outcomes

Learn how health plans can view members holistically, identify care gaps, and create optimal target lists to drive better care and quality scores.

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Perform Beyond Hype: Going beyond buzzwords in healthcare

Learn how Cotiviti performs beyond hype with deep clinical expertise, responsible innovation, and lasting partnerships.

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Perform Beyond Expectations: Delivering a true solution

Learn how Cotiviti delivers holistic solutions that empower organizations to make informed decisions and take decisive action across quality improvement, payment accuracy, and more.

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Perform Beyond Doubt: Turning uncertainty into informed action

Learn how Cotiviti empowers health plans to perform beyond doubt with end-to-end support, critical industry benchmarks, and more.

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Perform Beyond Silos: Uniting people, programs, and partners across healthcare

Learn how Cotiviti’s solutions and delivery model perform beyond silos by bridging program gaps and aligning efforts across departments.

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Introducing Cotiviti's 360 Pattern Review™

Learn how Cotiviti's 360 Pattern Review offers comprehensive FWA prevention and management across the entire claim payment cycle, seamlessly integrating with your existing programs and personnel.

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Addressing health equity in quality and engagement programs

A panel of four Cotiviti clients offer strategies and lessons learned for improving health equity among their member populations.

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A look at Cotiviti's innovation roadmap

Learn about Cotiviti’s mission-driven approach to innovation and artificial intelligence, as well as how we ensure that new solutions are market-ready.

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Unlocking the value of pharmacy data

Learn the impact that adding PBM claims data to a member’s contextual processing has on overall policy effect as we review recent drug spending trends.

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How health plans are innovating to deliver quality care and value

A panel of Cotiviti clients explores how health plans are navigating challenges and seizing opportunities to enhance health outcomes and drive cost efficiencies.

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Behavioral health claims growth and the move away from prior authorization

Learn the drivers of increased volume in behavioral health claims, how to control cost amid this increased volume, and ways to move away from prior authorization.

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Discussing our digital future with NCQA

Watch our conversation with NCQA as we offer a detailed review of NCQA’s phased approach from traditional reporting to digital-only.

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Navigating new frontiers in member engagement

Discover how Cotiviti is enabling health plans to navigate challenges such as Medicaid redetermination and health equity to drive better member outcomes.

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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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Navigating new frontiers in FWA and payment integrity

Cotiviti's Erin Rutzler, vice president of fraud, waste, and abuse, explains how Cotiviti is empowering health plans to navigate new frontiers in payment integrity.

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Navigating new frontiers in quality improvement

Cotiviti's Branka Sustic, vice president of quality and risk adjustment, explains how Cotiviti enables health plans to navigate the changing quality improvement landscape.

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Program Integrity Pulse: Benchmarking provider billing accuracy and payment trends

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Program Integrity Pulse: FWA Insights, tips and tricks

Exclusively for Payment Accuracy clients, this webinar highlights new schemes we’ve found, updated tips on using peer level reports, recent enhancements to our SIU Services experience, and more.

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