Katie Devlin

2 weeks ago | blog.cotiviti.com | Katie Devlin

As health plans continue to advance their digital transformation efforts, interoperability remains a critical driver for improving risk adjustment, quality performance, and member engagement. While the promise of seamless data exchange is compelling, payers still face persistent challenges—optimizing investments, demonstrating ROI, ensuring compliance, and enhancing experiences for both providers and members. At the same time, regulatory and competitive pressures continue to mount.

Feb 27, 2025 | blog.cotiviti.com | Katie Devlin

As landmark industry and regulatory trends such as the Trusted Exchange Framework and Common Agreement (TEFCA) accelerate the shift to a digital landscape, interoperability is emerging as a key focus for health plan leaders. The ability to exchange and use digital data effectively is paramount in enhancing operational efficiency and improving care delivery—yet requires payers to have dedicated resources and specialized expertise.

Jul 30, 2024 | resources.cotiviti.com | Katie Devlin

The growing demand for data sharing between payers and providers requires a commitment to interoperability and being well-versed in constantly evolving regulations and protocols. Effectively navigating these new frontiers requires a partner that is committed to greater value, innovation, and partnership.

Jul 28, 2024 | dotmed.com | Katie Devlin

By Katie Devlin Traditionally, payers have struggled to obtain clinical data in a structured format, which is crucial for determining appropriateness of treatment, utilization, and member engagement, and for capturing digital quality measures.