Healthcare Fragmentation: Cotiviti Outlines Path to Unified Care and Lower Costs
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A new strategy focused on eliminating departmental silos and fostering collaboration is emerging as a key solution to healthcare’s most pressing challenge: fragmentation. Health plans often struggle with alignment due to independent operation of crucial departments like quality betterment,risk adjustment,and member engagement,but a recent presentation at the Cotiviti Client Conference 2025 (CCC25) suggests a path forward.
The Cost of Disconnection
For years,the healthcare industry has grappled with inefficiencies stemming from a lack of cohesive strategy.This fragmentation leads to duplicated efforts, missed opportunities for cost savings, and ultimately, a diminished quality of care. According to a company release,the core issue isn’t necessarily a lack of technology,but rather the inability to integrate existing resources effectively.
Cotiviti’s Integrated Approach
Cotiviti is positioning itself as a partner to health plans seeking to overcome these hurdles. The company’s approach, detailed at CCC25, centers on three core principles: eliminating silos, turning insight into action, and establishing a unified vision.
Bridging the Gaps
Cotiviti’s solutions aim to connect previously isolated departments, both internally and externally. This is achieved through a delivery model designed to bridge program gaps and align efforts across the healthcare ecosystem. “Everything we create is all wrapped around the partnerships and relationships that we have with both the client and then also with our internal partners,” one senior official stated.
Data-Driven Strategies
The company emphasizes the importance of leveraging data to inform strategic decisions. Cotiviti delivers benchmarking, provider analytics, and dynamic training programs, all informed by real-world input from cross-functional teams. This ensures that strategies are not only relevant and effective but also grounded in shared objectives.
A Unified “North Star”
Cotiviti’s “Client Pledge” serves as a guiding principle, prioritizing openness, partnership, and problem-solving. By collaborating closely with clients, the company aims to achieve better outcomes for all stakeholders. This collaborative approach is intended to create a shared vision – a “North Star” – that aligns all efforts toward a common goal.
Expanding the Healthcare Network
Cotiviti’s commitment extends beyond health plans,encompassing partnerships with payers,providers,government entities,and pharmaceutical companies. This broader network aims to create a more holistic and coordinated healthcare experience.
Why is this happening? Healthcare fragmentation has long been a problem, costing billions and impacting patient care. Cotiviti recognized the need for a unified approach to address these systemic issues.
Who is involved? Cotiviti is the central player, partnering with health plans, payers, providers, government entities, and pharmaceutical companies. The CCC25 served as the platform for unveiling this strategy.
What is Cotiviti’s solution? Cotiviti proposes an integrated approach centered on eliminating silos, leveraging data-driven insights, and establishing a shared “North Star” vision. Their solutions connect previously isolated departments and prioritize transparency and collaboration.
How did it end? The presentation at CCC25 marked the formal launch of Cotiviti’s strategy. The company is now actively working with clients to implement these solutions, aiming to drive down costs and improve the quality of care.
