Cotiviti has introduced Caspian Insights, a unified data and analytics platform that represents the most comprehensive data set in the healthcare ecosystem. Caspian leverages Cotiviti’s extensive footprint among healthcare stakeholders to deliver a rich longitudinal view of individuals and providers that improves how organizations pay for, and provision, healthcare.
Caspian represents the longitudinal experience of 40% of Americans, along with the vast majority of their providers. The platform is differentiated by its core components allowing for increased organizational agility. It contains a catalogue of national evidence-based guidelines and proprietary insights, coupled with the ability to ingest petabytes of data across thousands of unique data types. In-depth analytics, utilizing machine learning models and natural language processing, power granular reporting that is comprehensive and provides real-time consumable insights – all built on cloud-ready technology with best-in-class security models.
Unlike other platforms that only access financial data, Caspian combines financial and clinical information alongside a vast array of other healthcare data types, such as social determinants of health, medical records, pharmacy, dental, and lab information. Cotiviti has further built a single patient identifier for driving information veracity and interoperability, long lacking in many corners of the healthcare industry. With this information, Cotiviti provides an all-encompassing view of the member in order to help health plans and providers have access to actionable information at their fingertips. It also supports work by life sciences organizations to accelerate therapies that improve quality of life while reducing lifetime healthcare costs.
“Cotiviti is uniquely positioned at the nexus of our clients’ most critical transactions. We assist our clients in navigating the complexities of reimbursement, appropriate care, and quality concerns. This provides us with a detailed understanding of the opportunities and challenges they are facing,” said Emad Rizk, M.D., chairman, and chief executive officer of Cotiviti. “Caspian can leverage data across the full spectrum of these programs to provide compelling insights that empower our health plan partners to proactively respond and adapt to an ever-changing and complex healthcare environment. Caspian drives insights across payment appropriateness, risk assessment, and quality measurement programs, further optimizing medical loss ratios and enhancing outcomes and quality scores for patients.”
Caspian draws upon Cotiviti’s distinctive reach across healthcare organizations, geographies, and technology systems to continually enrich the platform’s repository using AI-driven analytics. Caspian Insights may be applied in many areas critical to the healthcare system, including:
- Providing payers and providers with insights to support greater industry-wide collaboration, while reducing abrasion
- Solving complex end-to-end payment integrity challenges while reducing workflow times between payers and providers
- Closing gaps in care, increasing quality scores, and improving outcomes with a complete view of a member’s medical journey
- Providing real world evidence critical to post-market approval of new therapies and indications
“Cotiviti’s unmatched presence in the healthcare and data domains, combined with our industry-leading solutions for health plans, allows us to create a compelling ‘single source of truth’ that is virtually impossible for others to replicate. Yet, it is essential in order to continue innovation and execution around value-based care,” said David Mason, chief operating officer of Cotiviti. “Health plans are urgently facing new needs for transformative solutions. Caspian Insights allows us to directly fill that void while revolutionizing how the healthcare industry uses data. The Caspian integrated data and technology platform will advance our existing solutions, enhance our agility as we build new solutions, and most importantly, deliver substantial value to our customers and the healthcare system overall.”
Cotiviti is a leading solutions, data, and analytics company that is reshaping the economics of healthcare, helping its clients uncover new opportunities to unlock value. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, and network performance management programs. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit www.cotiviti.com.