As value-based reimbursement becomes the standard, Cotiviti’s Quality and Performance solutions allow health plans to move from simply reporting quality measures to driving the purchase, delivery, and utilization of higher value healthcare. Our solutions enable health plans to collaborate more effectively with their provider networks, with members, and with other functional teams within the plan itself. The result? Plans can successfully manage members’ clinical and financial risks, make the most of limited internal resources, and stay compliant with industry requirements and regulations.
Cotiviti can help you turn quality measurement and reporting into the rock-solid foundation you need to support such mission-critical initiatives as population health, quality improvement, compliance, network management and contracting, and value-based reimbursement. Our Quality and Performance solutions enable transformative quality measurement and reporting, population health management, network management, and underwriting initiatives with a “single source of truth”—and a collaborative approach to analysis and action.
Greater breadth and depth
quality measures in our solutions and growing
Delivering better results
medical record retrieval rate since 2017
A commitment to quality
abstraction accuracy since 2015
Take your HEDIS measurement and reporting to the next level
Measure and report HEDIS® and Quality-related metrics your way with >250 measures and growing
Benefit from a deeper level of support to optimize Star Ratings
Achieve >90% medical record retrieval success with a streamlined solution
Achieve >97% abstraction accuracy without hiring and training new staff
Tame your data and optimize your clinical and financial performance with one partner
Gain insights into every facet of healthcare utilization
Clearly understand and predict individual and population risk
Obtain the solid foundation you need to shift from volume to value
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).