Cotiviti, Inc.

Cotiviti, Inc. is a US-based healthcare analytics company focused on enhancing risk adjustment performance and improving health outcomes through advanced analytics solutions. Cotiviti, Inc. specializes in healthcare analytics, delivering services to healthcare providers and payers.

Founded in 2014 in South Jordan, US, the company has executed 4 deals, including its recent Add-on round that raised USD 4,900. 00 mn from Verscend Technologies. The company has raised a total of USD 370. 00 mn.

The acquisition in February 2024 by KKR marks a significant evolution in its strategy, aimed at bolstering growth and improving the healthcare system's sustainability. Cotiviti specializes in healthcare analytics, providing comprehensive solutions designed to enhance risk adjustment performance and improve overall health outcomes. Its core offerings include advanced analytics tools that facilitate the analysis of financial and clinical performance, ensuring appropriate reimbursement through retrospective solutions. These products are aimed at healthcare providers, payers, and other stakeholders within the healthcare ecosystem, enabling them to unlock cost savings, support supplier audits, and ensure contract compliance.

Cotiviti’s solutions are utilized across various geographical markets, including the United States and Canada, demonstrating their commitment to improving healthcare efficiency and effectiveness in these regions. The company also engages in multi-channel outreach to drive action based on its analytics, positioning itself as a vital partner in healthcare innovation. Cotiviti generates revenue primarily through subscription-based models that provide access to its suite of analytics products and services. In 2017, the company reported revenue of USD 678,661,000 and an EBITDA of USD 250,374,000.

Clients, which include healthcare providers and payers, enter into partnership agreements where they subscribe to specific analytics tools tailored to their operational needs, allowing them to utilize Cotiviti's flagship products for continuous performance improvement. The pricing model for these services typically reflects the scale and complexity of the analytics required, ensuring clients receive tailored solutions that align with their objectives. Looking ahead, Cotiviti plans to leverage its recent acquisition by KKR to accelerate growth and enhance its product offerings. The company is focusing on developing new analytics products aimed at improving healthcare system sustainability and care quality.

Specific geographic expansion plans are in place, particularly targeting markets in North America, with initiatives expected to ramp up by the end of 2024. The funds from the recent acquisition will be directed toward these strategic advancements and initiatives.