INSTANTINSIGHTS
ABOUT
COTIVITI is launching new solutions that address strategic health insurance market needs.
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Our solutions help health insurers transition from volume-to-value and generate revenue and insights faster and more predictably.
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Through cloud-based delivery, COTIVITI solutions scale to meet the demands of any-sized health plans.​
OUR
FOCUS
RAPID RISK
ADJUSTMENT
01
HIGH HCC VALUE FOCUS
An earlier and more complete picture of high-risk patients enables faster payments and more timely interventions.
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High-value HCC gaps-in-documentation are indicators of high-risk patients that are not identified by gaps-in-care analytics.
Coupling high-value HCCs with the providers best suited to address the gaps-in-documentation minimizes chart requests to providers.
PERFORMANCE
Identifying high value HCCs on a daily basis accelerates downstream risk adjustment activities, including chart retrieval, coding, submission, and payment, by as much as 6 months.
02
03
ACTIONABILITY
Educate providers about high-value gaps-in-documentation within days of a relevant encounter.
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Generate high-value chase lists on a daily basis with relevant patient information.
PROVIDER SCORECARD
01
SINGLE PROVIDER SCORE
COTIVITI's single provider score allows a health plan to objectively evaluate providers and their affiliated groups to make decisions around contracting and payment.
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Provider Scorecard is a nationwide provider performance management solution to drive network design, incentive programs, and operational decisions.
COTIVITI's provider score simplifies provider performance segmentation leveraging public and proprietary data sources.
PERFORMANCE
A single, consistent set of metrics that measures performance across LOBs to support the transition from volume-to-value at every stage.
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Benchmarks based on a variety of filter selections, down to the provider organization level, enable performance comparisons with relevant peer groups.
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03
ACTIONABILITY
Provider relations, network contracting, and operational teams have 24/7 access to web and mobile applications.
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Fuels value-based contracting, gold-carding, utilization review, appeals, and risk adjustment operations.
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Identify and select providers across key performance areas.
