Cotiviti Inc. Market Research Report

Company Overview

Name and Mission

Name: Cotiviti Inc.

Mission: To improve the healthcare system through advanced technology, data analytics, and specialized expertise, ensuring quality and sustainability in U.S. healthcare.

Founding Details

When Founded: No information is available.

Founder(s): No information is available.

Key People

Emad Rizk, M.D. - President and CEO

Peter P. Csapo - Chief Administrative Officer, EVP of Transformation and International Operations

Jerron Green - Chief Financial Officer and Treasurer

Richard Pozen, M.D. - Chief Medical Officer

Chris Coloian - Executive Vice President, Revenue and Growth

Kerri Eskin - Executive Vice President, Human Resources

Matthew Hawley - Executive Vice President, Payment Integrity

Joe Morrissey - Executive Vice President, Client Engagement

Chad Kinkead - Executive Vice President, Risk Adjustment, Quality, and Consumer Engagement

Headquarters

Location: No information is available.

Number of Employees

No information is available.

Revenue

No specific revenue information is available.

Recognition

Known for improving healthcare through advanced technology, data analytics, and specialized expertise. It partners with more than 200 healthcare payers in the U.S., including all of the top 25 health plans.

Products

Product Offerings

Cotiviti offers a comprehensive suite of solutions across different areas:

1. Payment Accuracy

Solutions span the entire claim payment lifecycle, from payment policy management to fraud investigation.

2. Risk Adjustment

Complete retrospective risk adjustment solutions enhanced by technology and analytics.

3. Quality and Performance

Solutions for health plans to improve quality measurement and reporting, including HEDIS and Star Ratings.

4. Consumer Engagement

Solutions like Eliza® Member Engagement for personalized, multi-channel outreach to drive member action.

5. Cotiviti Retail

Audit and recovery services that help retailers save hundreds of millions annually.

Key Features

Payment Accuracy: Includes payment policy management, coding validation, claim pattern review, and fraud management.

Risk Adjustment: Offers suspect analytics, medical record retrieval, and coding services.

Quality and Performance: Utilizes medical intelligence and DxCG Intelligence for healthcare data analysis.

Eliza® Member Engagement: Uses behavioral science to motivate member actions, improving clinical outcomes.

Cotiviti Retail: Covers services like merchandise payables and contract compliance.

Recent Developments

Recent Achievements and Recognitions

Cotiviti was named the 2024 Best in KLAS® for Payer Quality Measurement and Reporting, highlighting its Quality Intelligence solution.

It delivered over $8B in annual medical cost savings through payment accuracy and optimized risk adjustment revenue across Medicare Advantage clients.

New Products/Features

Introduced Star Intelligence, allowing Medicare Advantage plans to track and predict Star Ratings, improve member care, and optimize quality bonus payments.

Strategic Partnerships

No specific new partnerships were mentioned.

Additional Information

Social Responsibility

Cotiviti Cares: The company supports broad social causes, emphasizing community engagement, environmental challenges, educational development, and health improvement.

Investor Information

For investment inquiries, contact the Investor Relations team at investorrelations@cotiviti.com.

Privacy and Security

Cotiviti holds robust associations and certifications, ensuring data privacy and security, contributing to improved healthcare partnerships and system integrity.

This report exposes Cotiviti's robust presence in healthcare solutions, their executive leadership prowess, product offerings, client commitments, and recent industry recognitions, although some company-specific foundational details such as the number of employees and exact revenue remain undisclosed.