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Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. Cotiviti’s solutions increase transparency and collaboration between payers and providers while empowering them to reduce medical and administrative costs, enable better health, improve claims payment efficiency, streamline operations, drive interoperability, and advance value-based care. Its customers serve the majority of U.S. healthcare consumers, providing coverage and care for over 300 million members and patients. Additionally, Cotiviti offers data management and recovery audit services to the retail sector to improve business outcomes. For more information, visit www.cotiviti.com.
MCG Health, part of the Hearst Health network, helps healthcare organizations (both in the government and private sectors) guide clinical decisions using updated, evidence-based content, analytics, and innovative technology. MCG solutions are currently used by a majority of the largest U.S. health plans and over 3,100 hospitals to support clinical judgment. MCG’s ultimate goal is to help patients receive appropriate care (based on vetted, scientific literature and data) in the proper setting.
MCG, along with Regence Health Plans and MultiCare Connected Care, was the first to implement a scalable, prior authorization automation solution using the HL7 Fast Healthcare Interoperability Resources (FHIR®) standard with the HL7 Da Vinci Project implementation guides. In 2023, they were recognized by KLAS with a Points of Light Award. Read the case study.
