Cotiviti Unveils Innovative Hub to Enhance Health Plans Outreach

Cotiviti Unveils Innovative Hub to Enhance Health Plans Outreach

Cotiviti, a recognized leader in advancing data-driven healthcare solutions, has introduced its new Engagement Hub, aiming to empower health plans in identifying care gaps among members. This innovative platform will enhance the ability of health plans to gain a comprehensive view of their members and efficiently deploy targeted outreach initiatives.

Streamlining Member Engagement Processes

The Engagement Hub integrates quality measure logic and reporting capabilities from Cotiviti’s award-winning Quality Intelligence solution with the outreach features provided by the Eliza member engagement engine. This combination sets a new standard in efficiency, user experience, and overall customer satisfaction.

Optimizing Care Coordination

Chad Kinkead, executive vice president of risk, quality, and consumer engagement at Cotiviti, emphasized the importance of a streamlined process. He noted how various factors affect a health plan's ability to engage effectively with members. The Engagement Hub addresses these factors by optimizing member identification, minimizing unnecessary administrative costs, and providing tracking features to measure outreach results. This focused approach is key in enhancing coordination and efficiency within health plans.

Comprehensive Member Lifecycle Management

The Engagement Hub transforms the entire member engagement lifecycle. It efficiently identifies actionable gaps in high-weight quality measures, targets appropriate members, manages outreach efforts, and tracks outcomes through a unified data feed. This process enables health plans to focus engagement campaigns on the right members at the right moment, enhancing the effectiveness of education and outreach initiatives aimed at closing care gaps.

Enhancing Outreach Through Tailored Campaigns

To support health plans further, the Engagement Hub features specific campaigns. These campaigns educate members about essential preventive screenings for conditions such as breast, cervical, and colon cancer. They also remind parents about vital checkups and immunizations for children and engage members regarding diabetes and hypertension management screenings. Such initiatives are designed to align better with HEDIS reporting requirements and improve overall member engagement workflows while ensuring a reduction in interruptions and member overload.

Addressing Social Determinants of Health

Leah Dewey, vice president of consumer engagement at Cotiviti, outlined how challenges like housing and food insecurity impact member health engagement. She pointed out the difficulties plans face in connecting with at-risk populations and filling care gaps, underscoring the need for specialized support. The Engagement Hub serves to bridge these gaps by allowing health plans to allocate resources efficiently toward the populations most likely to benefit from engagement, ultimately improving their health outcomes.

Cotiviti's Established Expertise in Quality Improvement

For over two decades, Cotiviti has been at the forefront of supporting health plans in Quality and Stars initiatives. With experience processing over 147 million member lives annually through its Quality Intelligence platform and engaging over 50 million members through Eliza, Cotiviti stands out as an industry leader. Interested parties can learn more about the Engagement Hub by visiting the Cotiviti website.

About Cotiviti

Cotiviti empowers healthcare organizations to optimize care delivery while minimizing expenses through advanced technology and data analytics. Its solutions form a vital framework for healthcare payers committed to reducing costs and improving care quality. Cotiviti provides programs focused on payment accuracy, quality improvement, risk adjustment, and consumer engagement, thus driving better health outcomes. The company also offers data management and recovery audit services within the retail sector, enhancing business results. For additional information, please visit www.cotiviti.com.

Frequently Asked Questions

What is the purpose of Cotiviti's Engagement Hub?

The Engagement Hub aims to help health plans identify care gaps, enhance member outreach, and achieve performance benchmarks through comprehensive data management.

How does the Engagement Hub improve member engagement?

It streamlines the member engagement lifecycle, focusing on identifying actionable care gaps and managing targeted outreach campaigns for optimal results.

What types of campaigns does the Engagement Hub provide?

Campaigns include education on preventive screenings and reminders for annual checkups, aimed at increasing awareness and participation in health management.

How does Cotiviti address social determinants of health?

By launching the Engagement Hub, Cotiviti enables health plans to connect more efficiently with at-risk populations and focus resources where they are most needed.

What has been Cotiviti's experience in healthcare quality?

With over 24 years in the industry, Cotiviti has supported health plans across various initiatives, effectively processing millions of member lives and facilitating extensive outreach programs.

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