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Unlocking 2026 Quality Compliance: Cotiviti’s Quality Decoded Webinar Series Returns

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navigating Healthcare’s Shifting Quality Landscape: new Webinar Series Launched

The Healthcare Industry is bracing for significant changes in quality reporting and regulatory oversight.As expectations from bodies like the Centers for Medicare & Medicaid Services (CMS) and the National Committee for Quality Assurance (NCQA) intensify, health plans are actively seeking resources to maintain compliance and enhance member outcomes.Understanding the evolving regulations and measurement methodologies is now more critical than ever for financial stability and the delivery of high-quality care.

Webinar Series to Decode Complex Changes

In response to these challenges,a complete webinar series,“Quality Decoded,” is set to launch on Febuary 24,2026. This program,designed for professionals involved in payer quality and Star Ratings program management,aims to simplify complex regulatory updates and provide actionable strategies throughout the year. It will cover everything from initial proposed rules to finalized policies and performance evaluations, equipping teams with the knowledge to respond effectively to industry shifts.

Key Focus Areas for 2026 and Beyond

The “Quality Decoded” series will address several pivotal areas within healthcare quality management. Experts will dissect the CMS advance Notice to prepare for potential Star Ratings adjustments. Participants will also learn how to contribute meaningfully to the NCQA Public Comment process, influencing future standards. A deep dive into the CMS Final Rule will clarify its implications for quality strategies, and an analysis of the 2025 HEDIS season will reveal valuable lessons learned.

Moreover, the webinars will cover the HEDIS MY 2027 Technical Specifications to ensure regulatory adherence and a thorough evaluation of the 2027 star Ratings results and their strategic impact. here’s a quick reference table outlining the key webinar topics:

Webinar Topic Focus
CMS Advance notice Preparing for proposed Star Ratings changes
NCQA Public comment Meaningful contributions to industry standards
CMS Final Rule Understanding implications for quality strategies
MY 2025 HEDIS Season Analyzing outcomes and lessons learned
HEDIS MY 2027 Specifications Ensuring compliance with technical requirements
2027 Star Ratings Results Evaluating impact on future planning

Expert Guidance and On-Demand Access

Each webinar will be led by experienced Quality and Stars professionals, offering a blend of regulatory understanding, operational insight, and performance-driving strategies. Registrants will also benefit from on-demand recordings, allowing for flexible learning and knowledge reinforcement. According to a recent report by the American Hospital Association, over 6

What topics will be covered in cotiviti’s 2026 Quality Decoded webinar series?

Unlocking 2026 Quality Compliance: Cotiviti’s Quality Decoded Webinar Series Returns

The healthcare landscape is in constant flux, and staying ahead of evolving quality reporting requirements is paramount. For healthcare organizations navigating the complexities of value-based care, risk adjustment, and quality measurement, proactive education is no longer a luxury – it’s a necessity. That’s why the return of Cotiviti’s Quality Decoded webinar series is so timely and valuable for 2026.

Understanding the 2026 Quality Reporting Landscape

2026 brings a new wave of changes impacting quality programs like HEDIS, Star Ratings, and Medicare Advantage. These updates aren’t simply tweaks; thay represent fundamental shifts in how performance is measured and rewarded. Key areas of focus for 2026 include:

* Expanded Digital Quality Measures: Expect a continued emphasis on leveraging electronic clinical data systems (ECDS) and interoperability for more accurate and efficient data collection.

* Social Determinants of Health (SDOH): Integration of SDOH data into quality reporting is gaining momentum, requiring organizations to address factors beyond clinical care.

* Health Equity: Increased scrutiny on disparities in care and a push for equitable outcomes across all patient populations.

* Risk Adjustment Accuracy: Maintaining accurate risk scores is crucial for appropriate reimbursement and quality program participation. errors can lead to important financial penalties.

What is the Quality Decoded Webinar Series?

Cotiviti’s Quality Decoded series is a complete educational program designed to equip healthcare professionals with the knowledge and tools needed to successfully navigate these changes. The series breaks down complex regulations and guidelines into actionable insights, delivered by industry experts.

This year’s series promises to delve deeper into the specifics of 2026 requirements, offering practical strategies for:

* Data Collection & Validation: Optimizing processes for accurate and complete data submission.

* Gap Closure Strategies: Identifying and addressing performance gaps to improve quality scores.

* coding & Documentation Best Practices: Ensuring compliant coding and thorough documentation to support quality reporting.

* Leveraging Technology: Utilizing technology solutions to streamline quality management and reporting.

Why Attend the 2026 Quality Decoded Series?

Investing time in quality education yields significant returns. Here’s how attending the Quality decoded webinars can benefit your organization:

* Minimize Compliance Risk: Stay informed about evolving regulations and avoid costly penalties.

* Improve Quality Performance: Implement strategies to enhance quality scores and achieve better outcomes.

* Maximize Reimbursement: Ensure accurate risk adjustment and optimize revenue cycle management.

* Enhance Operational Efficiency: Streamline quality reporting processes and reduce administrative burden.

* Gain Competitive Advantage: Position your organization as a leader in quality and value-based care.

Deep Dive into Key 2026 Measures

the Quality Decoded series will likely focus on several key measures undergoing significant changes in 2026. While specific details will be unveiled during the webinars, anticipate in-depth discussions on:

* HbA1c Control (HEDIS): Updates to criteria and data collection methods.

* Blood Pressure Control (HEDIS & Star Ratings): New thresholds and reporting requirements.

* Statin Use (HEDIS & Star Ratings): refinements to eligibility criteria and documentation guidelines.

* Annual Wellness Visits (Medicare Advantage): Increased emphasis on preventive care and early detection.

* Fall Risk Screening (Medicare Advantage): Expanded requirements for identifying and addressing fall risk factors.

Practical Tips for Preparing for 2026

Beyond attending the webinars, here are some proactive steps you can take to prepare for the 2026 quality reporting cycle:

  1. conduct a Gap Analysis: assess your current processes and identify areas where you may fall short of the new requirements.
  2. Update Policies & Procedures: Revise internal policies and procedures to align with the latest guidelines.
  3. Provide Staff Training: Educate your staff on the changes and ensure they understand their roles in quality reporting.
  4. Invest in Technology: Explore technology solutions that can automate data collection, validation, and reporting.
  5. Monitor Industry Updates: Stay informed about ongoing changes and clarifications from regulatory agencies. resources like the youtube Official Help Centre can provide valuable updates on industry trends and best practices.

Real-World Impact: A Case Study (Illustrative)

A large health system implemented strategies learned from a previous quality Decoded series. By focusing on improved documentation and proactive gap closure, they saw a 15% increase in their Star Ratings within one year, resulting in a significant boost in Medicare Advantage enrollment and revenue. This demonstrates the tangible benefits of investing in quality education and implementing best practices.

Resources and Further Facts

Stay tuned to Cotiviti’s website for the official schedule and registration details for the 2026 Quality Decoded webinar series. Don’t miss this opportunity to unlock 2026 quality compliance and position your organization for success.

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