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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Stopping “phantom providers” with prepay intervention

Erin Rutzler

Nov 3, 2025

Latest Content

QUALITY AND STARS

2026 Star Ratings: What they mean and what comes next

Marge Ciancetta

Oct 29, 2025

PAYMENT INTEGRITY

Case Study: Regional Blue Plan performs beyond hype with Data Mining

Kevin Laskey

Oct 23, 2025

RISK ADJUSTMENT

Webinar: Navigating 2026 coding updates for risk adjustment success

Katie Sender, MSN, RN, PHN, CRC

Oct 21, 2025

QUALITY AND STARS

Webinar: Decoding the 2026 Star Ratings

Marge Ciancetta

Oct 17, 2025

Popular

01

Busted: The top fraud schemes of Q2 2025

Erin Rutzler

Sep 25, 2025

02

Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler

Mar 19, 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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