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Our latest healthcare insights and perspectives
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
Feb 8, 2024
May 14, 2024
Feb 28, 2024
Feb 6, 2024
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
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
PAYMENT INTEGRITY
3 reasons retrospective solutions are a vital part of claims payment integrityNov 3, 2021
CONSUMER ENGAGEMENT
Podcast: Welcoming, onboarding, and retaining members in the new yearNov 1, 2021
RISK ADJUSTMENT
RISE Webinar: Uniting risk adjustment, HEDIS, and Star Ratings initiativesOct 28, 2021
PAYMENT INTEGRITY
Execute healthcare claims editing more accurately—with less provider abrasionSep 22, 2021
CONSUMER ENGAGEMENT
4 best practices to prevent rapid disenrollment for Medicare Advantage plansSep 15, 2021
PAYMENT INTEGRITY
On-demand panel webinar: Right payment integrity intervention, right timeAug 31, 2021
PAYMENT INTEGRITY
Podcast: Cotiviti CEO Emad Rizk, M.D. on payment integrity and interoperabilityAug 4, 2021
Jul 28, 2021
PAYMENT INTEGRITY
The right payment solution at the right time: 3 takeaways from Cotiviti’s new researchJul 8, 2021
NETWORK AND CLINICAL ANALYTICS
3 strategies to boost payer-provider collaboration amid COVID-19Jun 17, 2021
NETWORK AND CLINICAL ANALYTICS
Redefining value: practical tactics to spur value-based care adoptionJun 10, 2021
PAYMENT INTEGRITY
On-demand webinar: Integrating pre and postpay programs for optimal FWA resultsMay 19, 2021
RISK ADJUSTMENT
Q&A: Strategic payer initiatives at the intersection of risk and qualityMay 11, 2021
