We are proud to announce Eliza® Member Engagement is now part of Cotiviti!
Learn More
Our latest healthcare insights and perspectives
PAYMENT INTEGRITY
Case study: Benefits administrator achieves millions in payment integrity valueNov 25, 2024
Feb 8, 2024
May 14, 2024
Feb 28, 2024
Feb 6, 2024
FRAUD, WASTE, AND ABUSE
Case study: Highmark Wholecare prevents FWA with Claim Pattern ReviewNov 6, 2024
CONSUMER ENGAGEMENT
Case study: Engaging members to apply for the Low-Income Subsidy (LIS)Oct 30, 2024
CONSUMER ENGAGEMENT
Proactive member engagement strategies to close gaps in Medicare AdvantageOct 17, 2024
FRAUD, WASTE, AND ABUSE
FWA Insights: Catching outlier behaviors in physical therapy claimsAug 8, 2024
PAYMENT INTEGRITY
FRAUD, WASTE, AND ABUSE
Video: Navigating new frontiers in FWA and payment integrityJul 16, 2024
PAYMENT INTEGRITY
White paper: Getting self-insured employer groups on board with payment integrityJun 13, 2024
PAYMENT INTEGRITY
Case study: Protecting financial integrity with prepay review solutionsJun 5, 2024
ENTERPRISE DATA ANALYTICS
Navigating new frontiers in healthcare: 3 takeaways from CCC24May 29, 2024
CONSUMER ENGAGEMENT
5 steps for proactive member engagement following Medicaid redeterminationsMay 23, 2024
QUALITY AND STARS
RISK ADJUSTMENT
White Paper: Executing high-performing interoperability programs to enable clinical dataMay 2, 2024
QUALITY AND STARS
Webinar: Implications of the 2025 CMS Final Rate Announcement for quality programsApr 11, 2024
PAYMENT INTEGRITY
Case study: Coordination of benefits (COB) results soar for large national planApr 9, 2024
FRAUD, WASTE, AND ABUSE
Case study: Integrated prepay and FWA solutions deliver improved claim accuracyJan 24, 2024
FRAUD, WASTE, AND ABUSE
Preparing for 2024 trends in healthcare FWA: CPT code updates and beyondJan 17, 2024
PAYMENT INTEGRITY
Case study: Data mining for errors yields more accurate pharmacy paymentsNov 16, 2023
FRAUD, WASTE, AND ABUSE
FWA Insights: Flagging suspicious activity related to COVID-19 testingNov 8, 2023
CONSUMER ENGAGEMENT
Video: Reducing disparities in care during Global Health Equity WeekOct 26, 2023
PAYMENT INTEGRITY
Savings spotlight: Dental claim review expertise nets significant savingsSep 13, 2023
FRAUD, WASTE, AND ABUSE
Webinar: Finding new schemes with AI and investigative techniquesSep 11, 2023
QUALITY AND STARS
Podcast: Enhancing interoperability for better risk and quality outcomesSep 6, 2023
QUALITY AND STARS
Closing the Gap: Maintaining healthy cholesterol and improving medication adherenceAug 31, 2023
PAYMENT INTEGRITY
Video: A new approach to prepay coordination of benefits (COB) validationAug 14, 2023
FRAUD, WASTE, AND ABUSE
FWA Insights: Catching schemes related to Ozempic, Wegovy, and semaglutidesAug 2, 2023
QUALITY AND STARS
Navigating changes in Star Ratings programs: Enhancing success with four key stepsJul 24, 2023
PAYMENT INTEGRITY
4 strategies to curb medical cost increases as healthcare utilization reboundsJul 10, 2023
