Our latest healthcare payer resources

Improve payment integrity, risk adjustment, quality, and engagement outcomes with the latest healthcare insights from Cotiviti's leading experts including customer case studies, webinars, white papers, and articles.

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Our healthcare payer resources

Stay on top of the latest healthcare insights from Cotiviti's experts.

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Risk Adjustment

RISE highlights connected data, early intervention

RISE National 2026 underscored a shared priority across both payers and providers: turning accurate data into better decisions and better care.

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Risk Adjustment

Risk Adjustment Essentials webinar series

Sign up and learn the essential updates for risk adjustment that will drive better performance in 2026 and beyond.

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Quality and Stars

HEDIS MY 2027 Public Comment: What to know

Learn the key elements of NCQA's proposed changes for HEDIS Measurement Year (MY) 2027.

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Fraud Waste and Abuse

FWA Insights: Identifying adult day health billing schemes

Learn how Cotiviti’s investigators identified outlier providers in Adult Day Health (ADH) billing, what their analysis uncovered, and how health plans can strengthen oversight.

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Quality and Stars

Quality Decoded webinar series

Stay ahead of evolving quality and Star Ratings requirements with Cotiviti’s popular webinar series.

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Risk Adjustment

Improving medical record retrieval: 5 best practices

Learn how to enhance retrieval success, improve outcomes, and foster collaboration—without increasing provider burden or placing strain on internal teams.

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Risk Adjustment

2027 CMS Advance Notice: 4 key updates

Understanding the 2027 CMS Advance Notice is crucial for optimizing plan performance, ensuring compliance, and maintaining a competitive edge.

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Fraud Waste and Abuse

FWA Insights: The top fraud schemes of 2025

Mitigate FWA risks in 2026 with these lessons learned from 2025 in lab testing, home health and hospice, and telehealth.

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Quality and Stars

Achieving Star Ratings success in the ECDS era

Learn how to maintain or even boost your Star Ratings as hybrid measures are retired and digital quality becomes the norm.

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Risk Adjustment Essentials

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Quality Decoded

Get critical HEDIS and Star Ratings updates from our popular webinar series

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Inpatient claim review insights to strengthen your 2026 strategy

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