The Healthcare Infrastructure Company™
Joined August 2010
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Cotiviti retweeted
Healthcare could prevent more denials and appeals by getting things right the first time.
Cotiviti CEO Ric Sinclair discusses the infrastructure needed to make that possible.
Hear his take 👉 youtube.com/watch?v=4_1lR6yi…
@Cotiviti #HealthcareInfrastructure #healthtech
Cotiviti retweeted
Adding AI to healthcare silos won’t solve every problem.
Cotiviti CEO Ric Sinclair discusses why coordinated infrastructure matters—and why intelligence needs to reach decisions earlier.
Watch the interview: healthcareittoday.com/2026/0…
@Cotiviti #HealthcareInfrastructure #HITsm
Cotiviti retweeted
Payers and providers are moving closer together.
Ric Sinclair explains why that convergence could require a different tech model—one built around greater connection rather than traditional silos.
Watch the interview🔗 healthcareittoday.com/2026/0…
@Cotiviti #HealthcareInfrastructure
Cotiviti retweeted
AI in healthcare is often discussed as something that's coming.
But Ric Sinclair wants to be clear: at Cotiviti, it's already embedded across the business.
The company is applying AI, machine learning and NLP across areas including payment accuracy, coordination of benefits, risk adjustment, prior authorization and value-based care.
The bigger opportunity is what happens when that intelligence is combined with healthcare data, expertise and real-world workflows.
That's where Cotiviti is focused—putting AI to work across the healthcare ecosystem rather than treating it as a standalone technology experiment.
Full interview 🔗 healthcareittoday.com/2026/0…
@Cotiviti #HealthcareInfrastructure
Cotiviti retweeted
In a recent webinar, Thomasina Anane of the Alliance of Community Health Plans discussed AI applications where Alliance members have reached consensus. [Sponsored by @Cotiviti]
Access the full webinar here: ow.ly/9Rcm50ZVSuZ
Cotiviti retweeted
Constant Vigilance is the Watchword for Healthcare AI Governance. Sponsored by @Cotiviti, a webinar addressing the challenges of AI implementation and governance offered insights based on findings from the Healthcare AI Readiness Index.
Full webinar here: ow.ly/CVAe50ZVRGI
Cotiviti retweeted
Hospital and payer AI governance is at a crossroads. Research from MedCity News and @Cotiviti shows robust AI adoption by payers and providers, but what steps are they taking for AI governance and AI-weaponized cybersecurity threats? [Sponsored]
Register: ow.ly/YwNe50ZScJ9
Cotiviti retweeted
Health tech company @Cotiviti is building out its payment accuracy platform for payers with two new additions that will allow plans to see all inpatient claims in one place
bit.ly/3VefNR7
Cotiviti retweeted
AI isn't just a future promise for Cotiviti.
CEO Ric Sinclair explains how AI, machine learning and NLP are already embedded across payment accuracy, risk adjustment, prior authorization, value-based care and more.
healthcareittoday.com/2026/0…
@Cotiviti #HealthcareInfrastructure
Cotiviti retweeted
Healthcare could prevent more denials and appeals by getting things right the first time.
Cotiviti CEO Ric Sinclair discusses the infrastructure needed to make that possible.
Hear his take 👉 healthcareittoday.com/2026/0…
@Cotiviti #HealthcareInfrastructure #digitalhealth
Cotiviti retweeted
To help improve accuracy and combat waste, @Cotiviti has developed a suite of AI‑driven, augmented intelligence solutions that combine fine-tuned agents, knowledge graph retrieval, and orchestrated context and tool calls to proprietary data and models: hlc.org/news/from-discovery-…
Cotiviti retweeted
Why Healthcare Needs Coordinated Infrastructure, Not More Point Solutions @Cotiviti #HealthIT
healthcareittoday.com/?p=253…
Cotiviti retweeted
New Lifers this week: Ric Sinclair, CEO of Cotiviti, makes the case that healthcare's problem isn't data or technology. It's coordination.
TIMESTAMPS
(00:00) Lead In
(00:32) Intro
(00:59) Drumming to leadership
(04:00) From music to health tech
(08:35) Waystar product lessons
(11:00) Waste and infrastructure gaps
(12:29) AI could raise costs
(15:48) Cotiviti CEO origin story
(21:01) Ending the finger pointing
(27:41) Execution and convening stakeholders
(30:16) Gold carding teaser
(30:48) VIP prior auth idea
(32:09) Coordination not data
(33:42) Plant the orchard
(34:58) AI as services model
(37:21) Humans in the loop
(40:39) Reskilling and job shifts
(42:57) AI literacy and adoption
(46:02) Polite to the bots
(47:34) Smaller teams bigger output
(50:51) Creativity still human
(55:17) Cotiviti values framework
(57:35) Legacy and less waste
(58:48) Can stakeholders share pain?
(01:00:58) Wrap
Thank you, @NCQA! We are proud to partner with you to advance digital quality.
A big congratulations to @Cotiviti on completing NCQA's HEDIS Digital Certification for all measures for MY 2025!
Learn how Cotiviti and other organizations are leading the charge in Digital Quality Measurement: bit.ly/43ugruR
Medication adherence and risk capture are more connected than many MA plans realize. Members non-adherent to chronic condition treatments are often the same individuals whose conditions may be under-documented from a risk perspective.
via @RISEhlth: bit.ly/4dO9CKg
Risk-adjusted medication adherence replaces traditional adherence in MY 2026 and increases to a weight of three in MY 2027, introducing greater score dispersion and increasing both upside opportunity and downside risk across contracts.
Read more: bit.ly/4fPyItG
Many health plans still rely heavily on post-pay recovery.
Cotiviti's new eBook explores why rethinking payment integrity throughout the full claim lifecycle yields stronger, more sustainable results. hubs.ly/Q046DkcC0
Clearinghouses and vendor-specific gateways introduce additional translation layers and operational constraints, increasing complexity and reducing transparency in payer-provider integration.
Cotiviti's Maxim Abramsky explains via @hcittoday: bit.ly/4dqRVyY
New APCM behavioral health add-on codes create billing flexibility for providers, but also introduce heightened risk of standalone billing, unbundling, and incomplete care-team documentation.
Read the key vulnerabilities health plans should monitor: bit.ly/3QgxU6w
