Cotiviti
16 Case Studies
A Cotiviti Case Study
The Partners Group, a Portland-based financial services firm, needed a way to turn complex healthcare data into actionable insights for large self-funded employers and hospital systems. Its Interas division sought analytics that could integrate EMR and payer data, provide tested risk stratification, and put “a face on the data.” To meet that need they selected Cotiviti’s Medical Intelligence platform, fueled by DxCG risk‑adjustment and predictive models.
By deploying Cotiviti Medical Intelligence, Interas consolidated disparate data sources, gave controlled direct access to clients, and used DxCG models to run value audits, challenge vendors, and inform plan design changes for better medical management. The six-analyst Interas team plus client user groups (often 8–10 users) now use the platform to quantify savings opportunities, hold program providers accountable, and differentiate The Partners Group’s consulting services in population health and clinically integrated network strategy.
Case Escher
Managing Director of Interas and Partner