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Our latest healthcare insights and perspectives
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
Feb 8, 2024
Aug 29, 2023
May 4, 2023
QUALITY AND STARS
Breaking down NCQA’s proposed changes for HEDIS Measurement Year 2020Feb 20, 2020
RISK ADJUSTMENT
CMS continues shift to risk adjustment encounter data in 2021 Advance NoticeJan 17, 2020
PAYMENT INTEGRITY
Case study: How to build a strong healthcare fraud case leading to convictionJan 16, 2020
ENTERPRISE DATA ANALYTICS
The importance of collaborative data sharing to enable AI-driven healthcareJan 9, 2020
ENTERPRISE DATA ANALYTICS
Video: Wrapping up 2019 at Cotiviti and looking ahead to 2020Dec 20, 2019
ENTERPRISE DATA ANALYTICS
Dr. Emad Rizk on the opportunities, challenges of AI in healthcareDec 5, 2019
ENTERPRISE DATA ANALYTICS
Be prepared: best practices for data management when health plans mergeNov 20, 2019
PAYMENT INTEGRITY
Dr. Emad Rizk: 3 tips for moving from retrospective to prospective payment integrityNov 18, 2019
ENTERPRISE DATA ANALYTICS
Video: Cotiviti CEO Emad Rizk, M.D., on the future of AI in healthcareOct 24, 2019
NETWORK PERFORMANCE
How finance leaders can drive alignment between health plans and physiciansAug 20, 2019
PAYMENT INTEGRITY
Podcast: how to sharpen your inpatient auditing program with better chart selectionMay 20, 2019
RISK ADJUSTMENT
Full steam ahead: CMS finalizes new condition count model and risk score blend for Medicare Advantage plansApr 10, 2019
QUALITY AND STARS
The 2020 Medicare Advantage and Part D Final Call Letter: What to know about Star RatingsApr 5, 2019
ENTERPRISE DATA ANALYTICS
Data lakes: the rising tide that lifts all healthcare stakeholdersMar 25, 2019
QUALITY AND STARS
From the HEDIS® 2019 trenches: tracking your retrieval and abstraction effortsMar 20, 2019
ENTERPRISE DATA ANALYTICS
Podcast: A path to success in the changing data management landscapeMar 12, 2019
ENTERPRISE DATA ANALYTICS
Podcast: improving healthcare tech for a 360° view of patient careFeb 12, 2019
RISK ADJUSTMENT
Beneficiary-specific risk adjustment: proposed 2020 Medicare Advantage risk adjustment model changesJan 4, 2019
QUALITY AND STARS
Achieving five-star success: takeaways from the Medicare Star Ratings & Quality Assurance SummitDec 13, 2018
PAYMENT INTEGRITY
Podcast: How clinical validation is good for payers, providers, and patientsSep 27, 2018
RISK ADJUSTMENT
Crunching the numbers as ACA risk adjustment transfer payments are put on holdJul 11, 2018
RISK ADJUSTMENT
Suspecting analytics transformed—the rapid movement from clinical rules to machine learningMay 30, 2018
ENTERPRISE DATA ANALYTICS
Set your data free! Takeaways from the 2018 Health DatapaloozaMay 3, 2018
QUALITY AND STARS
From the trenches podcast: The changing quality improvement landscapeFeb 14, 2018
ENTERPRISE DATA ANALYTICS
What makes Verscend a “major player” in clinical and financial analytics?Jan 23, 2018
RISK ADJUSTMENT
Breaking it down: proposed Medicare Advantage risk adjustment model changes for 2019Jan 11, 2018
