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Our latest healthcare insights and perspectives

RISK ADJUSTMENT (PAYER)

Risk adjustment with AI: Key do’s and don’ts

Summerpal Kahlon, M.D.

Jul 7, 2026

Latest Content

RISK ADJUSTMENT (PAYER)

RISK ADJUSTMENT (PROVIDER)

Beyond coding: A patient-centered approach to risk adjustment

Betty Stump, MHA, RHIT, CPC, CDIP

Jul 1, 2026

INTEROPERABILITY

Interpreting public prior authorization metrics

Jason Van Der Jagt

Jun 29, 2026

QUALITY & STARS

What the Clover Insurance decision means for 2027 QBP determinations

Marge Ciancetta

Jun 26, 2026

RISK ADJUSTMENT (PROVIDER)

Case Study: Improving risk capture with advanced pre-visit prep

Betty Stump, MHA, RHIT, CPC, CDIP

Jun 23, 2026

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Busted: The top fraud schemes of Q2 2025

Erin Rutzler, AHFI, CFE, CHC, CPC

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2027 CMS Advance Notice: 4 key updates

Betty Stump, MHA, RHIT, CPC, CDIP

Feb 5, 2026

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3 key payment integrity trends to watch in 2026

Megan Brennan, CPC, CPCO, CPMA, CFE

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FWA Insights: New behavioral health codes for APCM services

Adrianne Glanton, MSN, RN, CPC

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QUALITY AND STARS

Webinar: Optimize Medicare Advantage Star Ratings with Star Intelligence

Ashley McNairy

Nov 1, 2022

QUALITY AND STARS

Bouncing back from the 2023 Star Ratings

Ashley McNairy

Oct 19, 2022

QUALITY AND STARS

HEDIS® strategies: 4 ways to prepare for the ECDS transition

Ashley McNairy

Jul 18, 2022

QUALITY AND STARS

Learning from 2022 Star Ratings and planning for 2023–2024

Ashley McNairy

Oct 19, 2021

QUALITY AND STARS

CMS Star Ratings: Navigating changes in 2021 and the coming years

Ashley McNairy

Feb 16, 2021

QUALITY AND STARS

Cotiviti clients outperform the field in 2021 Star Ratings

Ashley McNairy

Oct 14, 2020

RISK ADJUSTMENT

Mitigating the impact of COVID-19 on risk adjustment and quality scores

Ashley McNairy

Jun 26, 2020

QUALITY AND STARS

The 2020 Medicare Advantage and Part D Final Call Letter: What to know about Star Ratings

Ashley McNairy

Apr 5, 2019

QUALITY AND STARS

Achieving five-star success: takeaways from the Medicare Star Ratings & Quality Assurance Summit

Ashley McNairy

Dec 13, 2018

QUALITY AND STARS

The 2019 Star Ratings program: making the cut

Ashley McNairy

Oct 15, 2018

QUALITY AND STARS

The CMS 2019 Final Rate Notice: Star Ratings changes

Ashley McNairy

Apr 13, 2018

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