Cotiviti

Thank you to all who joined our recent International Women's Day celebrations, and thank you to Saritha LV for sharing these photos from our Hyderabad office! We join you this Women's History Month in celebrating the achievements of women across our organization and across the globe. #SheLeads

A recent paper by Evernorth highlights the growing consensus around value-based care in mental health, which lags behind other areas of medicine in adopting value-based payment. Challenges include data gaps, slow adoption of electronic health records, and a shortage of providers. https://bit.ly/4i2tDMt Healthcare Finance News

As we continue celebrating Women’s History Month in partnership with Cotiviti’s Women’s Inclusiviti Network (WIN), we recognize Dr. Helen Rodríguez-Trías, a pioneering physician, activist, and advocate for health equity and reproductive rights. Born in Puerto Rico, Dr. Rodríguez-Trías became a leader in public health and social justice, working to improve medical care for women, children, and marginalized communities. She fought against forced sterilization practices targeting Puerto Rican women, helped establish maternal and child health programs, and was a founding member of the Women’s Caucus of the American Public Health Association. Her dedication to healthcare as a human right led her to serve as the first Latina president of the American Public Health Association, where she continued advocating for accessible, ethical medical care. Dr. Rodríguez-Trías’ work reminds us that true progress in healthcare means fighting for the rights of the most vulnerable. Her legacy continues to inspire those working toward a more just and inclusive medical system. #WomensHistoryMonth #HealthEquity #WomenInMedicine

The California Advanced Primary Care Initiative focuses on value-based payment models and population health management. This collaboration between Blue Shield of California, Aetna, and Health Net seeks to enhance outcomes while supporting physicians financially. https://bit.ly/4b2ErrO Fierce Healthcare

Preventing improper claim payments isn’t just about reducing costs. When executed correctly, it strengthens a health plan’s competitive position while keeping provider abrasion low. Learn how a mid-sized health worked with Cotiviti to achieve: - Increased prepay savings by avoiding improper claims payment - Improved competitive position in marketplace - Improved accuracy of provider payments Read our case study to see how Cotiviti's solutions empower health plans to perform beyond expectations. https://bit.ly/3FATxJm

The recent trial of Pain MD reveals how a pain management company turned patients into victims of a healthcare fraud scheme. With over 700,000 fraudulent injections billed and millions of taxpayer dollars misappropriated, the case exposes the exploitation of vulnerable individuals dependent on opioids. https://bit.ly/4ibfP2r KFF

We're ready to meet you at the Self-Insurance Institute of America (SIIA) Spring Forum 2025! Stop by to chat with Christopher Ellsworth during tonight's welcome reception and learn how Cotiviti empowers TPAs and self-funded employers to improve healthcare claim payment integrity. Learn more here ➡️ https://lnkd.in/efBt66PB

As fraud, waste, and abuse schemes in healthcare grow more sophisticated, your special investigations unit (SIU) will have to adapt to these challenges. Outdated technology and ineffective detection methods can leave organizations vulnerable to growing threats. Our latest checklist outlines six essential features every SIU needs to modernize its approach and recover more effectively. https://hubs.ly/Q033W3x-0

The impact of the 2025 Star Ratings is being felt across the industry, as many major payers face declines that threaten billions in quality bonuses. Watch our on-demand webinar on YouTube as our experts explore these challenges, offering insights on improving Star Ratings, managing CMS measure changes, and enhancing member satisfaction. https://bit.ly/3E2WVf7

The 2025 SIIA Spring Forum, from March 17-19 in Tampa, will bring together key industry players to discuss rising medical costs and their impact on the self-insurance industry. Meet with Cotiviti's Chris Ellsworth and learn how we enable TPAs and self-funded employers to perform beyond expectations while: 🔹 Avoiding payment errors before claims get paid 🔹Lowering administrative costs by reducing "pay and chase" 🔹 Maintaining positive provider relationships while ensuring payment integrity https://hubs.ly/Q039kwJY0