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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Appropriate billing of intensive outpatient programs

Katie Lewis, RN, BS, CPC

Oct 15, 2025

Latest Content

QUALITY AND STARS

Case Study: How one plan transformed its Star Ratings strategy

Dani Sutherland

Oct 13, 2025

RISK ADJUSTMENT

Preparing for 2026: Adapting to new risk adjustment regulations

Katie Sender, MSN, RN, PHN, CRC

Oct 9, 2025

QUALITY AND STARS

MY 2026: Breaking down the latest HEDIS Technical Specifications

Samantha Davis

Oct 7, 2025

PAYMENT INTEGRITY

Case study: Regional plan exceeds expectations with second-pass COB

Evan Okulanis

Oct 2, 2025

Popular

01

Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler

Mar 19, 2025

02

Busted: The top fraud schemes of Q2 2025

Erin Rutzler

Sep 25, 2025

03

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

04

Busted: The top fraud schemes of Q1 2025

Erin Rutzler

Apr 30, 2025

QUALITY AND STARS

Webinar: Making the most of HEDIS downtime

Branka Sustic

Jul 12, 2023

QUALITY AND STARS

Preparing for a “Universal Foundation” of quality measures

Branka Sustic

Jun 12, 2023

QUALITY AND STARS

On-demand webinar: Staying active during a shorter HEDIS off-season

Branka Sustic

Jul 13, 2021

QUALITY AND STARS

COVID-19

Webinar: Turning the page on this year's HEDIS season

Branka Sustic

Jul 2, 2020

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