Cotiviti is a leading solutions and analytics company that is reshaping the economics of healthcare, helping our clients uncover new opportunities to unlock value.
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.
We work with >180 healthcare payers, including 96% of the top 25 plans, delivering results including:
• >$5 billion in annual medical cost savings in Payment Accuracy
• >$2 billion in annual incremental Risk Adjustment revenue across Medicare clients
• >60% of members reported to NCQA processed by Cotiviti’s Quality Intelligence software
Cotiviti’s healthcare solutions are powered by Caspian Clarity, a proprietary data and analytics platform spanning thousands of unique member and provider data types across financial and clinical domains, representing the most comprehensive longitudinal data set in healthcare.