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Our latest healthcare insights and perspectives
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
Oct 19, 2022
Oct 27, 2022
Jan 30, 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
PAYMENT INTEGRITY
Savings spotlight: Cotiviti takes on payment integrity in 5 new case studiesApr 3, 2023
FRAUD, WASTE, AND ABUSE
FWA Insights: Prepay review leads to >$100K in projected annual savingsMar 28, 2023
FRAUD, WASTE, AND ABUSE
Webinar: Sequencing investigative activities for greater provider impactMar 22, 2023
QUALITY AND STARS
Closing the Gap: Improve screening rates during Colorectal Cancer Awareness MonthMar 21, 2023
QUALITY AND STARS
Summary: NCQA releases proposed HEDIS changes for MY 2024 and MY 2025Feb 23, 2023
FRAUD, WASTE, AND ABUSE
FWA Insights: Catching improper billing within genetic testing and molecular pathologyDec 21, 2022
FRAUD, WASTE, AND ABUSE
Webinar: Deter FWA in 2023 with the latest investigative strategiesNov 29, 2022
FRAUD, WASTE, AND ABUSE
Focusing on prepay FWA prevention at NHCAA's Annual Training ConferenceNov 14, 2022
RISK ADJUSTMENT
Webinar: How to build risk adjustment into your value-based care strategyNov 4, 2022
QUALITY AND STARS
Webinar: Optimize Medicare Advantage Star Ratings with Star IntelligenceNov 1, 2022
FRAUD, WASTE, AND ABUSE
FWA Insights: Catching inappropriate billing within ASD servicesSep 14, 2022
QUALITY AND STARS
Moving to in-year HEDIS: 5 best practices to boost scores and member engagementAug 30, 2022
NETWORK AND CLINICAL ANALYTICS
On-demand webinar: Pursuing better value-based care with Florida Blue MedicareAug 9, 2022
CONSUMER ENGAGEMENT
White paper: How to engage Medicaid members for more equitable outcomesJun 8, 2022
PAYMENT INTEGRITY
FRAUD, WASTE, AND ABUSE
White paper: Detecting and preventing FWA in behavioral health claimsJun 1, 2022
PAYMENT INTEGRITY
eBook: The payment integrity leader’s playbook for success in 2022 and beyondMay 26, 2022
COTIVITI LEADERSHIP
Moving from surviving to thriving: 5 takeaways from CCC22 to improve U.S. healthcareMay 19, 2022
NETWORK AND CLINICAL ANALYTICS
Podcast: The importance of interoperability in value-based careMay 13, 2022
RISK ADJUSTMENT
OIG report highlights beneficiary protections as Medicare Advantage program growsMay 6, 2022
RISK ADJUSTMENT
Medicare Advantage risk adjustment in 2022: Driving to fierce and focusedApr 21, 2022
NETWORK AND CLINICAL ANALYTICS
Podcast: Improving risk assessment for better care outcomesApr 12, 2022
RISK ADJUSTMENT
5 takeaways from the 2023 Medicare Advantage and Part D Final Rate AnnouncementApr 7, 2022
QUALITY AND STARS
NETWORK AND CLINICAL ANALYTICS
CONSUMER ENGAGEMENT
3 areas of investment for payers to improve health equity in 2022Mar 17, 2022
NETWORK AND CLINICAL ANALYTICS
Webinar: The path to adopting a successful Alternative Payment ModelMar 15, 2022
QUALITY AND STARS
HEDIS MY 2023: Noteworthy topics to consider during NCQA’s public comment periodMar 9, 2022
PAYMENT INTEGRITY
On-demand webinar: Beyond prior authorization: Ensuring accuracy of specialty drug claimsMar 2, 2022
CONSUMER ENGAGEMENT
On-demand webinar: Meet your members where they are and move them to actJan 26, 2022
QUALITY AND STARS
COVID-19
Analysis: Behavioral health conditions, risk, and cost during the COVID-19 pandemicDec 15, 2021
FRAUD, WASTE, AND ABUSE
What’s old is new again: 3 healthcare fraud trends to watch for in 2022Dec 2, 2021
QUALITY AND STARS
CMS Innovation Center sharpens focus on health equity in new strategy refreshNov 18, 2021
