How is Cotiviti enabling health plans to navigate new frontiers in member engagement? Watch our recent video from the 2024 Cotiviti Client Conference (CCC24) featuring Leah Dewey, vice president of clinical and consumer engagement operations. Stay tuned as our video series concludes next week with a look at how Cotiviti is advancing interoperability!
About us
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, consumer engagement, and network performance management programs. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit www.cotiviti.com.
- Website
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http://www.cotiviti.com
External link for Cotiviti
- Industry
- IT Services and IT Consulting
- Company size
- 5,001-10,000 employees
- Headquarters
- South Jordan, UT
- Type
- Public Company
- Specialties
- Analytics, Payment Integrity, Payer Liability, Payment Accuracy, Clinical Appropriateness, Coding Compliance, Contract Compliance, Procure-to-Pay, Supplier Audit, Overpayment Recovery, Healthcare, Retail, Pay-for-Value, HEDIS, Risk Adjustment, and Provider Network Performance
Locations
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Primary
10701 S River Front Pkwy, Unit 200
Unit 200
South Jordan, UT 84095, US
Employees at Cotiviti
Updates
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The CMS proposed rule for 2025 introduces significant updates for renal dialysis services, including a 2.2% pay increase and an extension of Medicare payment to home dialysis for acute kidney injury patients. The rule also details updates to the ESRD Quality Incentive Program. https://bit.ly/3XV34SB Healthcare Finance News Centers for Medicare & Medicaid Services #HealthPlans #payments
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Capturing social determinants of health (SDoH) data is essential for health plans, particularly for Medicaid populations that often lack stable housing. Without this data, members are at a higher risk of losing coverage during the redetermination process. Successful strategies include combining various communication methods to survey members. Hear more from Cotiviti's Leah Dewey, vice president of clinical and consumer engagement, in Healthcare IT Today. https://bit.ly/3yjwnnu #HealthPlans #healthcare #payments
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A new Supreme Court decision may mean health care policies for patients, providers, or insurers could differ greatly from one state to another. Details in KFF. https://bit.ly/3XNeyrl #HealthPlans #healthcare
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In a letter to the Centers for Medicare & Medicaid Services, Senate Finance Committee Chair Ron Wyden urged stricter enforcement of Medicare Part D requirements for pharmacy benefit managers. Wyden emphasized that PBM contracting practices are financially straining smaller pharmacies and contributing to their closures. https://bit.ly/4cH7Ln7 Fierce Healthcare #payments #HealthPlans
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Do you have questions about making payment integrity work for administrative service only (ASO) partners? Our white paper offers practical guidance on engaging self-insured employer groups and optimizing payment integrity measures. You'll learn about: 🔹 Shaping program design and contracting 🔹 Negotiating fees with self-insured employers 🔹 Engaging employer groups 🔹 Implementing technical updates Download your copy here. https://bit.ly/4c7vWLy #payments #HealthPlans
Payment integrity: Getting self-insured employer groups on board
resources.cotiviti.com
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CMS announced it will recalculate the 2024 Medicare Advantage Star Ratings for quality bonus payments following two court rulings in favor of insurers. The new methodology will use the 2023 cut points for recalculations, ensuring consistent treatment across all contracts. https://bit.ly/3RR1VYv Healthcare Finance News Centers for Medicare & Medicaid Services #healthcare #HealthPlans #payments
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Members of the Cotiviti marketing team recently collaborated with volunteers at LIFTING HANDS INTERNATIONAL to assemble essential supply kits to be distributed to refugees in Ukraine, Gaza, Afghanistan, and other areas in crisis around the world. In addition, Cotiviti Cares was honored to support LHI through a donation that will help stock and furnish apartments for eight newly arrived refugee families in Utah. We are proud to partner with this incredible organization and support its mission to provide aid to refugees.
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As the healthcare industry continues to evolve, so do the challenges of fraud, waste, and abuse. This Cotiviti on-demand webinar provides a comprehensive overview of investigative strategies and trends in 2024, empowering you to safeguard against potential risks and losses. For example, we're covering the latest CPT code changes and how to craft effective investigative work plans tailored to your organization's needs. Subscribe to our YouTube channel for more. https://bit.ly/3TcgM0x #FWA #coding #HealthPlans
Preparing for investigative healthcare fraud, waste, and abuse strategies in 2024
https://www.youtube.com/