Cotiviti’s Post

How is Cotiviti enabling health plans to navigate new frontiers in payment integrity and fraud, waste, and abuse? Watch our recent video from the 2024 Cotiviti Client Conference (CCC24) featuring Erin Rutzler, vice president of FWA. ▶️ Stay tuned as our video series continues next week with a deep dive into member engagement!

Looking to improve your Star Ratings results, but have limited resources to accomplish your goals? Cotiviti Product Manager Marge Ciancetta joins the Healthcare de Jure podcast to explain upcoming changes to the Star Ratings program and how smaller Medicare Advantage plans can improve their results. https://bit.ly/3yuu2pz #HealthPlans #healthcare

CMS's decision to recalculate the 2024 Star Ratings could lead to higher quality bonus payments for many Medicare Advantage plans. Cotiviti's Marge Ciancetta explains what Medicare Advantage plans should expect next. https://bit.ly/3SfxCuX #HealthPlans #CMS #StarRatings

Amazon has expanded its RxPass subscription service to over 50 million Medicare members in 46 states. This program, which offers significant savings on generic drugs, required Amazon to meet specific regulatory and compliance standards to ensure Medicare beneficiaries could participate. https://bit.ly/3xw2ujs Healthcare Dive #HealthPlans #healthcare

Learn from Cotiviti's experts decoding NCQA's latest proposed changes for the Measurement Year (MY) 2025 #HEDIS season. Watch our on-demand webinar on YouTube as we review proposed measure changes, new measures, updates to race and ethnicity stratification, and more. Subscribe to our YouTube channel for more HEDIS and Star Ratings content throughout the year. https://bit.ly/4a6705Z #HEDIS #HealthPlans

What are the key takeaways from this year's #HEDIS season to carry over into next year and beyond? Read our latest LinkedIn newsletter and learn what's in store for you during our webinar this Thursday, July 18. 📰⬇️

Proactive member communication is crucial for rising post-COVID-19 Public Health Emergency (PHE) disenrollments—especially given that 26% of renewals still haven't been processed. Cotiviti's Leah Dewey explains how health plans can prioritize personalized outreach, address updates, and other strategies to help ensure members remain informed. https://bit.ly/3X3dMpI #HealthPlans #payments #healthcare

The recent AHIP conference in Las Vegas highlighted the significant impact of artificial intelligence on health plans and systems. Leaders from various health plans shared their insights on how AI enhances operational efficiency for personalized member care. https://bit.ly/4cfP7Tx Fierce Healthcare #AI #HealthPlans

Escalating healthcare expenses due to inflation, rising chronic care incidence, low Medicaid reimbursement, and other pressures have led to rising medical loss ratios (MLR) for health plans. Read our blog as we describe these challenges and offer three strategies for payers to manage them. https://bit.ly/4cj2anx Michael Jablon #payments #healthcare #HealthPlans