- Sector
- Healthcare
- Industry
- Medical - Equipment & Services
- Address
-
- IPO Date
- May 26, 2016
- Business
- Cotiviti Holdings, Inc. operates as a healthcare technology and data analytics company specializing in analytics-driven payment accuracy solutions. It provides a comprehensive suite of products and services including prospective and retrospective claims accuracy solutions, payment integrity, fraud, waste and abuse prevention, value-based care solutions, and healthcare quality measurement. The company serves healthcare payers, including Medicare, Medicaid, commercial insurers, and providers primarily in the United States, and also offers payment accuracy solutions for the global retail sector. Founded in 1979 and headquartered in Atlanta, Georgia, Cotiviti operates through two main business segments: Healthcare and Global Retail and Other. Its portfolio encompasses advanced technology and extensive clinical and financial data analytics to improve healthcare cost management and outcomes.
Recent major developments include the 2024 strategic recapitalization partnership with private equity firm KKR, which acquired a significant stake alongside long-standing investor Veritas Capital, enabling accelerated innovation and commercial growth. In 2025, Cotiviti completed the acquisition of Edifecs, a leader in healthcare data interoperability, enhancing its capabilities in healthcare technology, data analytics, and value-based care services. Cotiviti also launched several new offerings such as the 360 Pattern Review, a fully managed service combining prepay and postpay fraud, waste, and abuse prevention, and the Engagement Hub, designed to improve health plan quality scores through comprehensive member engagement and outreach. The company continues to expand technological innovation and strengthen its leadership position in payment integrity and healthcare analytics markets.