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FRAUD, WASTE, AND ABUSE PAYMENT ACCURACY
FWA Insights: How SIUs can identify misuse of the unlisted home visit code

Dina Ganibegovic

Aug 17, 2026

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Latest Content

QUALITY AND STARS
Star Ratings: Navigating Plan Preview season

Taylor Henry

Aug 13, 2026

QUALITY AND STARS
Key takeaways from HEDIS® MY 2025

Jamison Gillitzer

Aug 12, 2026

PAYMENT ACCURACY
The impact of AI-driven provider billing on health plans

Jeremy Mooney

Aug 3, 2026

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FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q2 2025

Erin Rutzler, AHFI, CFE, CHC, CPC

Sep 25, 2025

02

QUALITY AND STARS

2027 CMS Final Rule: What’s changing in Star Ratings and next steps for success

Marge Ciancetta

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QUALITY AND STARS

RISK ADJUSTMENT

2027 CMS Advance Notice: 4 key updates

Betty Stump, MHA

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QUALITY AND STARS

MY 2026: Breaking down the latest HEDIS Technical Specifications

Samantha Davis

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RISK ADJUSTMENT

5 takeaways from the 2023 Medicare Advantage and Part D Final Rate Announcement

Cotiviti

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QUALITY AND STARS

NETWORK AND CLINICAL ANALYTICS

CONSUMER ENGAGEMENT

3 areas of investment for payers to improve health equity in 2022

Cotiviti

Mar 17, 2022

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