Better outcomes across healthcare and beyond

Cotiviti works across healthcare—from health plans to providers to government agencies and more—to reduce costs, improve operations, and protect revenue. We combine deep expertise, advanced technology, and powerful data insights to deliver meaningful results.

Connect with us

Payers

Commercial, Medicare, and Medicaid payers rely on accurate, actionable, and integrated data to navigate a complex market. We deliver the insights they need to improve payment accuracy, manage risk adjustment, reduce costs, and strengthen care quality and member engagement.

Payment Accuracy

Interoperability

Risk Adjustment

Quality and Stars

Engagement

Risk Assessment

Government

Building on more than 25 years of healthcare expertise, we partner with government agencies to improve healthcare quality, protect public funds, strengthen program integrity, and modernize mission-critical programs with trusted data and technology.

Federal government

We support agencies including CMS, VHA, DHA, and CDC. As a Medicare Recovery Audit Contractor (RAC) since the program’s inception, we’ve helped return billions to the Medicare Trust Fund, with an exceptional accuracy rating.

Department of Veterans Affairs

Our longstanding work with the VA focuses on improving payment accuracy and maximizing collections. As the designated Recovery Audit Contractor for the VHA Office of Community Care (OCC), we’ve helped return billions to the VA Medical Collection Fund.

State Medicaid agencies

We help state Medicaid agencies connect data across systems, meet evolving compliance requirements, and modernize how information is exchanged. Today, the majority of state Medicaid agencies use our standards-based data exchange solutions to improve data quality and timeliness.

Payment Accuracy

Interoperability

Risk Adjustment

Quality and Performance

Providers

Our cloud-native, AI-driven solutions help providers access, exchange, and use clinical data across care settings. With a more complete view of their patient populations, providers can better manage risk, improve care, engage patients, and succeed in value-based care.

Self-insured employers, insurance brokers, and third-party administrators

Better healthcare benefits start with understanding cost, quality, and utilization. Our data and analytics help employers, brokers, and TPAs manage costs, design smarter benefits, identify employee health risks and care gaps, and measure the performance and ROI of their programs.

Retailers and enterprises

Retailers and enterprises lose significant revenue through overpayments, missed vendor income, and contract compliance issues. Our solutions help identify and recover those losses while using smarter transaction insights to prevent future leakage and strengthen margins.

Connect with our experts

See how Cotiviti's analytics platform helps healthcare organizations improve quality, reduce waste, and accelerate value-based care.