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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Spotting overpayments in mental health services

Melanie Poole

Sep 28, 2022

Latest Content

HEALTH EQUITY

AHIP Webinar: Driving collaboration to support health equity

Leah Dewey

Sep 22, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Catching inappropriate billing within ASD services

Erin Rutzler

Sep 14, 2022

FRAUD, WASTE, AND ABUSE

SIU panel discussion: Best practices in healthcare payer FWA

Erin Rutzler

Sep 12, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging for excessive modifiers

Melanie Poole

Sep 1, 2022

Popular

01

Learning from 2022 Star Ratings and planning for 2023–2024

Ashley McNairy

Oct 19, 2021

02

NCQA publishes proposed changes to HEDIS measures for MY 2022

Jamison Gillitzer

Mar 2, 2021

03

NCQA publishes proposed changes to HEDIS measures for MY 2023

Samantha Davis

Feb 24, 2022

04

Medicare Advantage risk adjustment in 2022: Driving to fierce and focused

RaeAnn Grossman

Apr 21, 2022

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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