Cotiviti

Keeping up with evolving HEDIS reporting requirements is critical. Join Cotiviti's Quality and Stars team for an in-depth review of the latest HEDIS MY 2025 measure specifications on September 4. You'll learn about the confirmed changes, focus areas, and impactful preparation strategies to enhance your team's readiness. Register now to stay informed and empowered for HEDIS and Star Ratings success. https://bit.ly/3A4siE9 #HealthPlans #HEDIS #payments

The number of Americans receiving mental health treatment increased from 18.5% to more than 23% between 2019 and 2021. Health leaders need to be aware of the new reality: Bad actors are targeting virtual behavioral health services. Here's what to look for in fraudulent billing and coding. https://bit.ly/3XHITrl MedCity News #FWA #MentalHealth #HealthPlans

The Annual Election Period (AEP) for Medicare Advantage plans is fast approaching. Revisiting engagement strategies is essential to ensuring member retention and effective enrollment. Join Cotiviti's expert on Thursday, September 12 as they share strategies for proactive member outreach, utilizing an omnichannel communication approach, ensuring members are aware of upcoming plan changes, and more. Save your spot: https://bit.ly/3Mkvb6H #HealthPlans #healthcare #payments

In our latest LinkedIn newsletter, Evan Okulanis lays out the three pillars for coordination of benefits (COB) success: ➡️ Start with the data ➡️ Add the right analytics ➡️ Apply expert insights

A recent survey by Gallup and West Health reveals a troubling trend in healthcare affordability. As of late 2023, only 55% of U.S. adults reported readily affording healthcare or medicine, the lowest share since 2021. https://bit.ly/4dyR6m7 Healthcare Dive #HealthPlans #payments

Ensuring payment accuracy for specialty drugs is essential. However, relying solely on prior authorizations can expose health plans to inaccuracies and fraud. Our white paper delves into methods that payers can implement to enhance accuracy for specialty drug claims. Read it now to improve your payment integrity in this increasingly expensive area. https://bit.ly/3XizuGd #fraud #FWA #HealthPlans

How can health plan SIUs sequence their investigations for the greatest impact? This Cotiviti FWA webinar is now available on demand on our YouTube channel. Learn from industry experts about best practices for achieving behavior change in fraud, waste, and abuse. With an end-to-end FWA approach, you'll gain valuable insights. Watch and subscribe to our YouTube channel here. https://lnkd.in/gZcGDhws #FWA #HealthPlans #FWA #HealthPlans

Our lived experiences highlight profound gaps in the healthcare system. These journeys show how preconceived notions about who faces health challenges often miss the mark. https://bit.ly/4fgCp94 Fierce Healthcare #HealthPlans #payments

Podcast: Cotiviti's Brett Arnold and Anandhi Periyanan discuss how AI's safe and purposeful application, based on four key principles, can bring real value to health plans trying to thrive in today's challenging environment. https://bit.ly/4daLWx7 #AI #payments #HealthPlans

Humana will expand its healthcare footprint in the first half of 2025 when it opens CenterWell Senior Primary Care and Conviva Care Centers at 23 former Walmart Health sites in Florida, Georgia, Missouri, and Texas. This move follows Walmart Health's decision to close all 51 centers due to a challenging reimbursement environment and rising costs. https://bit.ly/4dj3yq8 Becker's Healthcare #HealthPlans #healthcare #payments