- Видео 65
- Просмотров 68 935
Cotiviti
США
Добавлен 13 дек 2019
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.
Engaging with members at the end of the year
With the end of 2024 fast approaching, the final push to close member care gaps has started. The Annual Election Period (AEP) for Medicare Advantage (MA) plans begins in October, with preparations to retain and enroll new members as the Annual Notice of Change (ANOC) informs them of cost and coverage adjustments. Now is the time for plans to revisit their member engagement strategies to help ensure retention during the open enrollment period.
Attend our webinar as we discuss how proactive, multi-channel approaches to member engagement can significantly improve gap closure, member satisfaction, and plan growth. Join us as we review strategies to:
-Proactively identify members in need of outr...
Attend our webinar as we discuss how proactive, multi-channel approaches to member engagement can significantly improve gap closure, member satisfaction, and plan growth. Join us as we review strategies to:
-Proactively identify members in need of outr...
Просмотров: 23
Видео
Breaking down the HEDIS MY 2025 Technical Specifications from NCQA
Просмотров 8414 дней назад
Keeping up with the complexities of evolving HEDIS® reporting requirements can be difficult. Cotiviti’s Quality and Stars team is here to review the latest measure specifications and provide your team with guidance to address the annual publication of confirmed measure updates for HEDIS Measurement Year (MY) 2025. Watch our on-demand webinar as we discuss changes to HEDIS published by NCQA in t...
Introducing Cotiviti Prosperiti
Просмотров 4814 дней назад
In May 2024, Cotiviti team members around the globe gathered for the launch of Cotiviti Prosperiti, our new broad-based ownership program enabling all employees to share in the success as our organization grows and thrives. Now, watch our launch video to share in the excitement of this announcement and hear from our senior leaders and other colleagues about what Cotiviti Prosperiti means to them.
Interoperability in 2024: What health plans need to know
Просмотров 3921 день назад
Cotiviti's Katie Devlin, DHSc, MS, CPHIMS, vice president of interoperability, breaks down the definition of interoperability, challenges to data sharing, and the benefits of finding an interoperability partner to accelerate payer programs. 00:00 Understanding interoperability 2:36 Interoperability challenges for payers 3:30 Barriers to data sharing 5:05 Data use agreements (DUA) 7:54 Evolving ...
Navigating new frontiers in interoperability
Просмотров 83Месяц назад
The growing demand for data sharing between payers and providers requires a commitment to interoperability and being well-versed in constantly evolving regulations and protocols. Effectively navigating these new frontiers requires a partner that is committed to greater value, innovation, and partnership. Watch our recent video from the 2024 Cotiviti Client Conference (CCC24) as we explain how C...
Payment Integrity Insights Podcast - Deploying AI in payment integrity responsibly
Просмотров 29Месяц назад
Artificial intelligence (AI) and machine learning can help payment integrity programs achieve higher levels of value. But these technologies are not quick fixes and require proper planning and governance. Payers need to ensure that AI and machine learning are used in a way that supports their objectives and principles while improving member and provider satisfaction, not decreasing it. On the s...
Payment Integrity Insights Podcast - Artificial intelligence in payment integrity
Просмотров 78Месяц назад
As health plans look to artificial intelligence (AI) and machine learning to improve their operations and payment integrity programs, they must understand how it can be practically applied. But payers also want to be reassured the technology will be adopted appropriately and responsibly-and won’t increase provider abrasion. On the fifth episode of Cotiviti’s Payment Integrity Insights podcast, ...
Navigating new frontiers in member engagement
Просмотров 129Месяц назад
As Medicaid redetermination continues and health inequities persist, personalized, technology-driven strategies are enabling health plans to transform member engagement in the healthcare landscape. To effectively navigate these new frontiers in healthcare requires a partner that is committed to greater value, innovation, and partnership. Watch our recent video from the 2024 Cotiviti Client Conf...
Wrapping up the end of the HEDIS MY 2023 season
Просмотров 68Месяц назад
With the HEDIS Measurement Year (MY) 2023 season recently concluded, it’s crucial to reflect on the outcomes and strategically prepare for MY 2024. Stay ahead of the curve and ensure your team is ready by viewing Cotiviti’s on-demand webinar. Join us as we unpack the results of the past year and provide valuable strategies to effectively prepare for MY 2024. Our webinar offers: -In-depth analys...
Navigating new frontiers in payment integrity and FWA
Просмотров 1482 месяца назад
As healthcare fraud, waste, and abuse (FWA) schemes continue to evolve and cost the system as much as hundreds of billions of dollars per year, cutting-edge technologies and holistic approaches are an increasingly critical requirement. To effectively navigate these new frontiers in healthcare requires a partner that is committed to greater value, innovation, and partnership. Watch our recent vi...
Navigating new frontiers in risk adjustment
Просмотров 422 месяца назад
The complexities of risk adjustment demand innovative solutions and strategic partnerships, particularly as health plans face challenges such as declining reimbursement and increased scrutiny. To effectively navigate these new frontiers in healthcare requires a partner that is committed to greater value, innovation, and partnership. Watch our recent video from the 2024 Cotiviti Client Conferenc...
Navigating new frontiers in quality improvement
Просмотров 672 месяца назад
As healthcare evolves, the complexity of quality improvement programs such as HEDIS® and Star Ratings becomes more pronounced. To effectively navigate these new frontiers in healthcare requires a partner that is committed to greater value, innovation, and partnership. Watch our recent video from the 2024 Cotiviti Client Conference (CCC24) as we explain how Cotiviti helps our customers: -Underst...
Payment Integrity Insights Podcast - How to build a valuable coordination of benefits COB program
Просмотров 753 месяца назад
A successful coordination of benefits (COB) program can decrease medical costs, improve member relations, and avoid provider abrasion by quickly determining the correct order of benefits for even the most complex claims. But many payment integrity programs lack the necessary resources in bandwidth, data analytics, and business rules to coordinate benefit payments accurately and efficiently. On ...
Webinar: The "Total Value" approach to payment integrity
Просмотров 2044 месяца назад
Holistic payment integrity programs should perform beyond DIY models and low-hanging fruit. For the best long-term value, health plans need innovative programs to match their specific needs and comprehensive solutions that can integrate with existing systems. View Cotiviti's on-demand webinar and learn the Total Value approach to your payment integrity program. Our experts will walk through how...
Examining the 2025 CMS Final Rule
Просмотров 1,1 тыс.4 месяца назад
With the recent publication of the Centers for Medicare & Medicaid Services (CMS) Final Rate Announcement, payments to MA plans include up to a 3.70% increase on average, or over $16 billion compared to 2024. However, changes to the Star Ratings program specifically are expected to decrease payments to plans by 0.11%. View our short 30-minute webinar as we: -Review the 2025 Final Rate Announcem...
Payment Integrity Insights Podcast - The "Total Value" approach to payment integrity
Просмотров 1645 месяцев назад
Payment Integrity Insights Podcast - The "Total Value" approach to payment integrity
Breaking down the NCQA 2024 HEDIS public comment period
Просмотров 3446 месяцев назад
Breaking down the NCQA 2024 HEDIS public comment period
Tips to improve risk adjustment coding quality in 2024
Просмотров 1816 месяцев назад
Tips to improve risk adjustment coding quality in 2024
Reviewing the 2025 CMS Advance Notice
Просмотров 2536 месяцев назад
Reviewing the 2025 CMS Advance Notice
Preparing for investigative healthcare fraud, waste, and abuse strategies in 2024
Просмотров 1996 месяцев назад
Preparing for investigative healthcare fraud, waste, and abuse strategies in 2024
Progress report on Medicaid redetermination
Просмотров 1218 месяцев назад
Progress report on Medicaid redetermination
Program Integrity Pulse: A Claim Pattern Review case study
Просмотров 2429 месяцев назад
Program Integrity Pulse: A Claim Pattern Review case study
Catching potential drug testing fraud: A case study of successful investigative techniques
Просмотров 12310 месяцев назад
Catching potential drug testing fraud: A case study of successful investigative techniques
Why did Medicare Advantage plans perform worse in the 2024 Star Ratings?
Просмотров 22910 месяцев назад
Why did Medicare Advantage plans perform worse in the 2024 Star Ratings?
Sequencing healthcare fraud, waste, and abuse investigations for greater provider impact
Просмотров 28410 месяцев назад
Sequencing healthcare fraud, waste, and abuse investigations for greater provider impact
Beyond prior authorization: Ensuring accuracy of specialty drug claims
Просмотров 19311 месяцев назад
Beyond prior authorization: Ensuring accuracy of specialty drug claims
Breaking down the 2024 Star Ratings
Просмотров 28011 месяцев назад
Breaking down the 2024 Star Ratings
Payment Integrity Insights Podcast - Optimizing inpatient claim review
Просмотров 26411 месяцев назад
Payment Integrity Insights Podcast - Optimizing inpatient claim review
Pencils Up: Making the most of HEDIS downtime
Просмотров 22211 месяцев назад
Pencils Up: Making the most of HEDIS downtime