With Medicare open enrollment set to begin this week, the Centers for Medicare & Medicaid Services (CMS) has released the 2021 Star Ratings for Medicare Advantage plans with prescription drug coverage (MA-PD) as well as standalone MA and PD plans, based on data from calendar… Read More »Cotiviti clients outperform the field in 2021 Star Ratings
Cotiviti’s Signature Series features interviews with senior health plan leaders on how to improve clinical and financial outcomes in healthcare. To address rising healthcare costs and nurture care that drives positive patient outcomes, healthcare stakeholders are looking for ways to reward providers for value, not… Read More »Q&A: How Arkansas Blue Cross created a value-based payment model
When health plans embarked on this year’s HEDIS® season (Measurement Year 2019) in January, it is unlikely any of them realized just how drastically the U.S. healthcare system would change within the following six months, leading to exceptional challenges for both payers and providers. Now… Read More »
For too many Americans, healthcare is becoming increasingly unaffordable as medical inflation outpaces increases in wage earnings. To address this challenge, many health plans are looking to move from fee-for-service payment to a value-based compensation model that discourages inefficient use of healthcare resources and rewards… Read More »Webinar: A data-driven approach to value-based payment
While many employers are focused on helping their employees cope with the COVID-19 pandemic, the need to manage opioid abuse and addiction continues to remain strong. At the Pharmacy Quality Alliance (PQA) 2020 Annual Meeting held this month, Cotiviti’s Jamie Jenkins, senior program manager, and… Read More »How employers can use claims data to address opioid addiction
