Cotiviti’s Post

Embold proudly announces the addition of Medicare data into the dataset powering our #healthcarenavigation products, resulting in over 200 million covered lives. This is a big addition and helps us create a broader picture of provider quality. Read more about our latest dataset and methodology update here: Introducing Medicare and key enhancements: Embold’s 2024 data and methodology update: (emboldhealth.com)

Top thing on my mind this afternoon: Transparency in Coverage final rule issued in 2020 requires group #health plans to disclose pricing #data on covered items and services through three separate files. Learn more about the machine-readable file requirements in Marsh McLennan Agency's latest alert. #benefitscompliance

Meeting fiduciary responsibilities to member populations is an integral part of every Payer organization, so understanding how to adapt to rapidly changing regulatory and market pressures is critical. Payers need to be transparent in their decision-making and ensure that they leverage accurate data when selecting partners or making general decisions about spending plan assets.  Read our new blog article to learn how you can leverage new technology to access accurate, actionable data and streamline operations: https://lnkd.in/eJy4VAfs

Member care is your first priority—but there are common obstacles health plans encounter: ▫️ Communication barriers ▫️ Inappropriate billing ▫️ Poor quality scores That's why health plans need an outside expert committed to solving these problems so they can focus on giving members the best possible experience. Discover how our combination of advanced technology and data analytics is driven by experts committed to putting our clients and their members first. #HealthPlans #payment

Get organized and stay on top of QHP deadlines! 📅 Our calendar has all the important dates for Qualified Health Plan issuers on Federally-facilitated Exchanges. Download it now to make sure you're always on track! #QuestForSuccess #QHP #healthcare #deadlines

Health plans: Personalize your member intervention plans to address quality, risk, and value-based care needs – all in one solution. Our data-driven software delivers a combined view of member quality and risk gaps as well as value-based and custom measures to easily track your outreach efforts, adjust intervention plans, and create new plans. Explore Converged Outreach >> https://ow.ly/U4ce50PScH6 #HealthcareSoftware #ValueBasedCare #MemberEngagement

Managing unique member needs is a tall order for large health plans juggling massive amounts of data with the growing importance of patient-centric care. That's why many plans trust Inovalon's Converged Outreach to streamline their member intervention planning. Learn how this solution helps deliver the care patients need, at the speed and efficiency plans must have to effectively care for all members.

Managing unique member needs is a tall order for large #healthplans juggling massive amounts of data with the growing importance of patient-centric care.   That's why many plans trust Converged Outreach to streamline their member intervention planning across their risk, quality and value-based care initiatives. Learn how this solution helps deliver the care patients need, at the speed and efficiency plans must have to effectively care for all members.  

Transparency in Coverage final rule issued in 2020 requires group health plans to disclose pricing data on covered items and services through three separate files. Learn more about the machine-readable file requirements in Marsh McLennan Agency's latest alert.

Transparency in Coverage final rule issued in 2020 requires group #health plans to disclose pricing #data on covered items and services through three separate files. Learn more about the machine-readable file requirements in Marsh McLennan Agency's latest alert. #benefitscompliance