Cotiviti

What CPT code changes in E/M will impact your payment policies in 2025 and beyond? Cotiviti's Warren Lesnefsky explains what you'll learn in our new Payment Integrity Pulse webinar series kicking off next Wednesday, March 26. Read our latest LinkedIn newsletter to get the details and register ??

The pressure to manage healthcare costs effectively leads employers to expect more from third-party administrators (TPAs). Prepay integrity services are no longer optional for TPAs who want to stay competitive. A well-designed prepay integrity program protects against unnecessary spending and strengthens partnerships between TPAs and employers. Watch on YouTube as we explore key technical and clinical components necessary for payment integrity success. https://bit.ly/4af9mRk #HealthPlans #payments?

Humana’s CenterWell healthcare services division is expanding its reach in 2025 with 20-30 new centers in markets, including Augusta, Savannah, North Carolina’s Triad Region, and Wichita. This expansion aims to provide holistic, personalized care for seniors, especially those in underserved communities. https://bit.ly/4i4wi8I Fierce Healthcare

Cotiviti is proud to sponsor the 2025 Health Plan Alliance Spring Leadership Forum, an exclusive event for health plan leaders. As a trusted partner of numerous Alliance members, Cotiviti delivers tailored support in payment integrity, risk adjustment, quality improvement, and member engagement. We look forward to connecting with health plan leaders and discussing strategies for the future of healthcare.

Atlanta-based Sonder Health Plans has grown significantly, adding 14,000 new members for 2025, more than tripling its enrollment. Amid this expansion, the company remains committed to maintaining a personalized service experience. https://bit.ly/3CH2aBe Becker's Healthcare

Earlier this month, members of our Black Employee Success Team (BEST) employee resource group represented Cotiviti at Career Day at Eddie Bernice Johnson STEM Academy in Dallas, Texas. Engaging with eager second graders, they shared about their career journeys and the impact of their roles at Cotiviti in human resources, benefits, and medical coding. Thank you to Nicole Richardson, Sharonica Boston, and Shay Williams for participating, along with our Talent Acquisition team for providing Cotiviti swag—this truly made the students’ day! Events like these allow us to inspire the next generation while showcasing the meaningful work we do to improve the healthcare system. #CotivitiCares #BESTERG #CareerDay #VTO

Cotiviti's Payment Integrity Pulse webinar series kicks off on March 26, 2025! In our first webinar, we'll discuss the effects of CPT code changes in E/M, the shift from inpatient to outpatient, semaglutide policy trends, and more. We'll feature experts from clinical coding, data mining, and content operations to allow you to stay informed on the shifts shaping healthcare billing and utilization. https://bit.ly/3DKQBcu

A recent paper by Evernorth highlights the growing consensus around value-based care in mental health, which lags behind other areas of medicine in adopting value-based payment. Challenges include data gaps, slow adoption of electronic health records, and a shortage of providers. https://bit.ly/4i2tDMt Healthcare Finance News

As we continue celebrating Women’s History Month in partnership with Cotiviti’s Women’s Inclusiviti Network (WIN), we recognize Dr. Helen Rodríguez-Trías, a pioneering physician, activist, and advocate for health equity and reproductive rights. Born in Puerto Rico, Dr. Rodríguez-Trías became a leader in public health and social justice, working to improve medical care for women, children, and marginalized communities. She fought against forced sterilization practices targeting Puerto Rican women, helped establish maternal and child health programs, and was a founding member of the Women’s Caucus of the American Public Health Association. Her dedication to healthcare as a human right led her to serve as the first Latina president of the American Public Health Association, where she continued advocating for accessible, ethical medical care. Dr. Rodríguez-Trías’ work reminds us that true progress in healthcare means fighting for the rights of the most vulnerable. Her legacy continues to inspire those working toward a more just and inclusive medical system. #WomensHistoryMonth #HealthEquity #WomenInMedicine

The California Advanced Primary Care Initiative focuses on value-based payment models and population health management. This collaboration between Blue Shield of California, Aetna, and Health Net seeks to enhance outcomes while supporting physicians financially. https://bit.ly/4b2ErrO Fierce Healthcare