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ENTERPRISE DATA ANALYTICS

Best of 2023: Explore Cotiviti’s top content from last year

Amid the kickoff of HEDIS® season, pending announcements by the Centers for Medicare & Medicaid Services (CMS), open enrollment, and much more, health plans have many priorities to stay on top of as the new year gets underway.

Kick off 2024 with best practices from Cotiviti’s top trending articles, case studies, and white papers of 2023. Set your plan up for success by discovering how to get ahead of upcoming HEDIS and Star Ratings changes, new possibilities for prepayment integrity, ways to improve member engagement, and more. Take a look at the top resources from last year.

Quality measurement and improvement

Prepare for HEDIS and Star Ratings changes in the new year with our most popular quality resources.

Member engagement

Amid Medicaid redetermination and other ongoing challenges, learn how reach out to your members with more impactful, targeted communications throughout the year.

  • Close quality gaps throughout the whole year across 12 different areas of care. Read our comprehensive Closing the Gap eBook for ideas on how your plan can make sure members’ care needs are met while also improving quality scores.

Payment integrity

Discover how your plan can improve payment integrity efforts with a prepay approach; better flag fraud, waste, and abuse (FWA); and deal with medical cost increases.

Risk adjustment

Improve interoperability in the new year by optimizing electronic clinical data exchange.

  • While TEFCA and the 21st Century Cures Act have spurred progress in interoperability, health plans continue to face challenges to exchange data with providers and partners. What are concrete steps that plans can take to achieve success? Listen to the podcast, Enhancing interoperability for better risk and quality outcomes, to learn more.

There’s much more to come in 2024 as we break down upcoming notices from CMS, annual HEDIS changes from NCQA, the latest trends in payment integrity and FWA, and much more. Keep up with the latest healthcare industry news and strategies from Cotiviti by subscribing to our blog.

HEDIS® is a registered trademark of NCQA.

WRITTEN BY

Jeff Robinson
As director of marketing communications, Jeff supports Cotiviti's customers by developing a wide range of communications including white papers, case studies, podcasts, articles, and videos offering best practices in healthcare analytics. Before joining the organization in 2016, he worked in journalism as the morning host and news director for KCPW, a public radio station in Salt Lake City.

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