Quality and Performance solutions

Analyze, communicate, and improve your clinical and financial performance with industry-leading HEDIS® reporting and more

CMS RAC

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.

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From the Cotiviti blog

collecting COVID-19 analytic insights

Healthcare organizations are struggling to understand how to pivot from containment to recovery amid the COVID-19 crisis. Here are three key concerns payers will need to address as they work through these steps.

Read the blog

 

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

>250

quality measures in our solutions and growing

Delivering better results

>90%

medical record retrieval rate since 2017

A commitment to quality

>97%

abstraction accuracy since 2015

Take your HEDIS measurement and reporting to the next level

 

Qaulity Improvement Solutions

 

quality intelligenceQuality Intelligence

Measure and report HEDIS® and Quality-related metrics your way with >250 measures and growing

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star navigatorStar Navigator

Benefit from a deeper level of support to optimize Star Ratings

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medical record retrievalMedical Record Retrieval

Achieve >90% medical record retrieval success with a streamlined solution

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medical record abstractionMedical Record Abstraction

Achieve >97% abstraction accuracy without hiring and training new staff

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Tame your data and optimize your clinical and financial performance with one partner

 

Qaulity Improvement Solutions

 

medical intelligenceMedical Intelligence

Gain insights into every facet of healthcare utilization

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DxCG intelligenceDxCG Intelligence

Clearly understand and predict individual and population risk

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network intelligenceNetwork Intelligence

Obtain the solid foundation you need to shift from volume to value

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HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Download the Quality and Performance brochure