Cotiviti

Cotiviti is a healthcare analytics company that works with health plans, providers, government entities and retailers to improve the accuracy of healthcare payments and the quality of care. Its work concentrates on four areas: payment accuracy, risk adjustment, quality improvement and member engagement. In payment accuracy, the company applies analytics to healthcare claims to identify cost-reduction opportunities and recover improper payments. Its risk adjustment offerings support payers in maintaining the accuracy of risk scores, while its quality improvement solutions cover HEDIS and Star Ratings optimisation. Consumer engagement products aim to improve member engagement and clinical outcomes, and clinical chart validation services support both payment integrity and risk adjustment accuracy.

The company's technical work spans artificial intelligence, machine learning, data analytics, healthcare analytics and data interoperability. Interoperability capabilities were added through the acquisition of Edifecs, which brought healthcare data exchange expertise into the group. Cotiviti describes itself as a trusted partner to some of the nation's largest health plans, retailers and Fortune 1000 companies, and reports decades of experience in healthcare analytics.

Cotiviti operates in the United States and serves clients across healthcare, health insurance, healthcare providers, government and retail. The company states that it continues to invest in innovative technologies and has grown through acquisitions.