Company profile: Cotiviti
1.1 - Company Overview
Company description
- Provider of analytics-driven payment accuracy and insight solutions for healthcare payers and retailers, reducing medical and administrative costs across the payment lifecycle. Offers risk adjustment, quality and performance analytics, consumer engagement, retail supplier audit reviews, contract compliance and overpayment recovery, and medical intelligence to inform risk management and improve healthcare utilization and outcomes.
Products and services
- Payment Accuracy: Cotiviti engineers analytics-driven systems that reduce medical and administrative costs throughout the payment lifecycle for healthcare payers by unlocking value from incongruities discovered in complex stakeholder interactions
- Quality and Performance: Cotiviti creates analytics-enabled tools for healthcare payers to analyze, communicate, and improve financial and clinical performance, offering insight-driven analyses across complex stakeholder interactions
- Risk Adjustment: Cotiviti architects comprehensive prospective-and-retrospective products that ensure appropriate reimbursement for healthcare payers through risk adjustment, using insight-driven analysis of complex interactions to unlock value
Key contacts
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Financial details
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1.2 - Competitors and similar companies to Cotiviti
HealthAxis
HQ: United States
Website
- Description: Provider of healthcare administration software and services, including AxisCore for health plan administration, member management, and claims processing; AxisConnect BPaaS, BPO, staff augmentation, and consulting; automated, rules-based claims handling; provider and member data management; utilization management for authorization reviews; and premium billing with invoicing, payment tracking, and late fees.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
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- Total funding raised: $●●●m
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Prescryptive Health
HQ: United States
Website
- Description: Provider of digital health solutions for the prescription drug market, including myPrescryptive, a mobile platform with real-time prescription information, price comparisons, and management tools; Prescryptive AI Pricing to help pharmacies optimize profitability and offer competitive pricing by analyzing claims data and providing actionable insights; emPBM for transparent pricing, formulary management, and clinical programs; and SmartPRICE to compare insurance copay with the cash price of medications.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Prescryptive Health company profile →
Signify Health
HQ: United States
Website
- Description: Provider of value-based healthcare payment programs and technology-enabled services, partnering with health plans, providers, biotechnology and pharmaceutical companies, and technology companies to improve quality of life. Delivers in-home health evaluations, diagnostic and preventive screenings, comprehensive medication reviews, value-based programs, and tailored population health management with advanced analytics.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Signify Health company profile →
Agadia
HQ: United States
Website
- Description: Provider of healthcare management technology.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Agadia company profile →
Healthx
HQ: United States
Website
- Description: Provider of healthcare data and communications technology solutions with multi-channel Web and phone capabilities serving members, providers, brokers, and human resources professionals. Offers OpenX Web, a technology platform for payers.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Healthx company profile →
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2.M&A buyers
2.1 Potential strategic acquirers in the sector
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2.2 - Strategic buyer groups for Cotiviti
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Buyer group 2: ████████ ████████
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Buyer group 3: ████████ ████████
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3. Investors and private equity firms
3.1 - Buyout funds investing in similar companies to Cotiviti
2.2 - Growth funds investing in similar companies to Cotiviti
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4 - Top valuation comps for Cotiviti
4.2 - Public trading comparable groups for Cotiviti
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