The industry has been rightly focused on implementing the technical infrastructure required to support new health…
Category: News
Closing the year strong: Medicare Advantage risk adjustment priorities for Q4 2026
For Medicare Advantage (MA) risk adjustment leaders, the second half of the year often feels like…
Q&A: How to build a more coordinated program integrity strategy
As healthcare delivery becomes more complex and bad actors gain access to increasingly sophisticated technology, combatting…
AI in healthcare: The readiness challenge
Cotiviti and MedCity News just published the 2026 Healthcare AI Readiness Index revealing fascinating insights, including…
Webinar: A strategic approach to Medicare Advantage enrollment shifts
States bet big on rural health startups, with a Silicon Valley twist When Josh Fleig, Louisiana’s…
FWA Insights: Identifying non-emergency transportation billing risks
Non-emergency transportation is an essential function that helps Medicaid members access necessary care when they cannot…
Modernizing Medicaid through payment integrity, interoperability, and early intervention
The annual Medicaid Enterprise Systems Conference (MESC) is one of the premier events for state Medicaid…
Webinar: Reducing FWA through partnership
Fraud, waste, and abuse (FWA) risks are becoming more complex as health plans work to reduce…
Webinar: Decoding the latest HEDIS tech specs
Every year, HEDIS® requirements evolve. New specifications, measure updates, and technical refinements create new considerations for…
White Paper: Uncovering dental claim errors through advanced analytics
Fraud, waste, and abuse (FWA) continue to challenge dental plans as overtreatment, miscoding, and inappropriate billing…