Unlocking value from complexity

Consider the enormous number of contracts, business relationships and transactions that have become the lifeblood of today’s enterprises. Each one holds the potential to impact margins, and significant value is hid-den in that vast sea of data. For a given company, the impact to profits could be in the hundreds of millions of dollars. Finding and unlocking that value takes the ability to dig into data streams and fully comprehend their intricacies to develop actionable insight.

Such is the landscape in which healthcare payers and retailers must compete. Recent and ongoing changes in both industries are prompting businesses to scrutinize their operations more closely than ever.

Delivering healthcare – and paying for it – is more complicated than ever due to mandates for account-ability, quality of care and cost containment. There’s an urgent need for the utmost accuracy in claims and payments.

In retail, the rise of omnichannel commerce and the intense competition that goes with it means that merchants need to coordinate activities with unprec-edented precision. The number of interactions and business relationships is growing exponentially, making it nearly impossible to stay ahead of the game.

What’s out there? What’s worth going after? Is there confidence that every meaningful error and irregularity has been identified? All are key questions that must be answered by healthcare payers and retailers alike.

Cotiviti provides the answers with precision and accuracy across the continuum of payments. We have the expertise, technology, data mining capabilities and analytic insight to look more deeply at information and reveal what’s hidden there – and the experience to translate what we find into real business results.

Cotiviti – bringing together the strength of leadersFor decades, many of the largest healthcare payers and retail enterprises have found greater profit-ability through a pair of specialized experts: iHealth Technologies and Connolly. Cotiviti, through Cotiviti Healthcare and our retail-focused Connolly division, combines the complementary skills and resources of these two market leaders to benefit clients in both industries.

Cotiviti represents an investment in our clients’ future. We’re looking ahead, broadening our base of expertise, analytics and technology to deliver unique insights and business outcomes as clients adapt to a constantly changing world.

The world is evolving so fast that there’s no longer such a thing as business as usual. The landscape is in a state of constant flux, becoming more complex and putting new pressure on businesses as they try to compete.

Enhancing accuracy in a fast-changing world

A RICH HISTORY OF SUCCESS FOR HEALTH INSURERS AND RETAILERS

Cotiviti sprang from the belief that by combining knowledge from two proven industry leaders with decades of best-practice experience, we could bring healthcare and retail clients a higher level of performance.

1979 Connolly Consulting Associates founded.

1998Connolly enters the healthcare market, growing at a % CAGR for nearly a decade. iHealth Technologies’ core payment policy management solution developed.

2001iHealth Technologies is established with its first commercial client.

2005-2010 Client savings for both companies increase at a CAGR of more than %.

2014Merger of Connolly and iHealth Technologies creates the industry’s leading pure-play payment integrity firm. Consolidated client savings greater than $B annually.

Our clients are very loyal for a simple reason. Cotiviti produces results, year after year.

Clients achieve success with Cotiviti Healthcare and Connolly because we have a unique view of how value is created, where the opportunities exist and how to best capture them. It’s a combination of excellence in data mining, industry knowledge, efficient processes, powerful analytics, proven concepts, a client-oriented approach and the ingenuity of our experts, all working together. It’s the way we develop and apply insight to help businesses achieve their goals.

Cotiviti Healthcare: Accuracy that helps payers competeFor healthcare payers, making certain that claims are coded, billed and paid correctly is a critical business imperative. The industry professionals at Cotiviti Healthcare help payers achieve optimal efficiency and payment accuracy across the payments continuum.

We understand the healthcare environment and how to navigate it – guiding payers in the development and implementation of optimal policies. Cotiviti Healthcare offers prospective and retrospective claims and chart reviews to avoid overpayments, while delivering timely, accurate findings to ensure that providers are paid promptly. Our thorough data mining and audit expertise reliably identify and document incorrect payments so they can be prevented or recovered efficiently.

Connolly: Managing the massive complexity of retailTo maximize margins, retailers must precisely match agreements to payments across a vast ecosystem of suppliers, vendors and contracts. Connolly understands the subtle links of cause and effect that can ripple throughout the business in unexpected ways. Any discrepancy must be handled with discretion. The claims we identify are well-supported, lessening the risk of friction between retailers and their vast network of suppliers. The trust we earn is the foundation on which lasting partnerships are built.

Connolly clients see better results because our inno-vative auditing practices consistently find incongruities and patterns that often go unnoticed in client trans-actions, contracts and message traffic. We generate deeper insight, which in turn yields greater value, by looking broadly and deeply at all the information – the relationships behind the events as well as the discrepancies themselves.

Where the client’s best interest is always top of mindOurs is a culture of always doing what’s right. Clients know that we live up to our commitments – and often exceed expectations by developing innovative ways to capture value. Both Cotiviti Healthcare and Connolly have earned clients’ confidence through our diligence and disciplined accuracy, consistently delivering results.

Clients appreciate our unwavering focus on their business success. Our customer-centric approach is anchored in our understanding of their priorities and our recognition of their business realities. It’s who we are: a strategic partner in pursuit of the best financial outcomes for the healthcare payers and retailers we serve.

Two complex industries.Two teams with one purpose: delivering results.

Looking to the future: New analytics. Deeper insights. Greater value.

We’re problem-solvers, taking positive action to protect clients’ long-term interests. That’s the core of Cotiviti: a unique combination of collaboration and creativity.

Keeping pace with our clients’ ever-changing environ-ment, we’re moving quickly to find new ways to help healthcare payers and retailers achieve their goals. Together, Cotiviti Healthcare and Connolly are expand-ing their role as key strategic partners for our clients, organizations they can rely on as they adapt to a continuously changing world.

Our vision of the future is embodied in the investments we’re making to build on the power of analytics and the innovation for which we are renowned. Cotiviti is harnessing the combined power of our skills, tech-nology and knowledge to uncover greater sources of value for clients as their businesses evolve.

At Cotiviti, we never stop. We are constantly learning and adapting, using what we find to benefit all our clients. That’s the Cotiviti spirit at work, generating new ideas that help us do what we do best: deliver results, year after year.

Discover CotivitiCotiviti sees vast potential to unlock value across the entire ecosystem of payments, agreements, policies and relationships. With a steadfast focus on our clients’ success, we use analytics to look deeper, insight to understand more and capture every opportunity.

Find out more about the possibilities at cotiviti.com

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