Cotiviti

Cotiviti is a healthcare analytics company that works with health plans, providers, government entities and retailers to improve care and reduce costs. Its business rests on four solution areas: payment accuracy, which identifies opportunities for cost reduction and recovers improper payments; risk adjustment, including clinical chart validation; quality improvement, focused on HEDIS and Star Ratings optimisation; and member engagement, a consumer engagement offering aimed at payers, providers, government bodies and retailers.

The company applies artificial intelligence, machine learning and data analytics through proprietary analytics platforms, with an emphasis on healthcare data interoperability. It reports decades of experience in healthcare analytics and counts among its customers some of the largest health plans in the United States, as well as retailers and Fortune 1000 companies. Its geographic presence is concentrated in the United States.

Cotiviti has grown in part through acquisitions, among them the purchase of Edifecs, which expanded its healthcare data interoperability capabilities. The company describes itself as a trusted partner to its clients and states that it continues to invest in new technologies.