Cotiviti Caspian
Better data. Better decisions. Better health.
Overview
Cotiviti's Caspian platform is a powerful data and analytics engine for health plans. While not a direct provider-facing empanelment tool, it is critical in the patient attribution process from the payer side. It ingests massive amounts of clinical and claims data to help payers with risk adjustment, quality reporting (HEDIS/Stars), and payment integrity. This data is used to define the populations for which providers will be held accountable.
✨ Key Features
- Enterprise Data Management
- Quality and HEDIS/Stars Program Management
- Risk Adjustment Analytics
- Payment Integrity
- Payer-Provider Data Exchange
🎯 Key Differentiators
- Deep expertise in payment integrity and accuracy
- Advanced analytics for risk and quality
- Comprehensive solution set for health plan operations
Unique Value: Provides health plans with a unified data and analytics platform to manage the complex interplay of quality, risk adjustment, and payment integrity, driving better financial and clinical outcomes.
🎯 Use Cases (4)
✅ Best For
- Improving Star ratings for Medicare Advantage plans
- Ensuring accurate risk adjustment submissions to CMS
- Identifying and recovering improper payments
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Provider organizations looking for a clinical care management tool
🏆 Alternatives
Offers a stronger focus on the financial aspects of healthcare, such as payment integrity, compared to more clinically-focused population health vendors.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (Enterprise tier)
🔒 Compliance & Security
💰 Pricing
🔄 Similar Tools in Empanelment Tools
Innovaccer Health Cloud
A comprehensive healthcare data platform designed to unify patient data and enable value-based care....
Arcadia
A population health management platform that aggregates and analyzes data to improve financial perfo...
Cedar Gate Technologies
An end-to-end platform for value-based care, offering analytics, care management, and payment techno...
Lightbeam Health Solutions
A population health management platform that provides analytics, risk stratification, and care coord...
Azara Healthcare DRVS
A population health management platform focused on community health centers, FQHCs, and physician pr...
Health Catalyst Data Operating System (DOS)
An open, flexible, and scalable data platform that enables healthcare analytics and improvement....