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Our latest healthcare insights and perspectives

QUALITY AND STARS

Star Ratings reset: How MA plans can prepare

Marge Ciancetta

Dec 16, 2025

Latest Content

RISK ADJUSTMENT

Checklist: Creating a comprehensive risk adjustment program for the new year

Amanda Liu

Dec 10, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Billing for services not rendered

Heather Weible, CPC

Dec 8, 2025

PAYMENT INTEGRITY

Webinar: Upcoming regulations and their potential payment integrity impact

Warren Lesnefsky

Dec 4, 2025

RISK ADJUSTMENT

Navigating the 2026 ICD-10-CM coding updates

Katie Sender, MSN, RN, PHN, CRC

Dec 2, 2025

Popular

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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

Closing the Gap: National Immunization Awareness Month

Jamison Gillitzer

Jul 31, 2023

QUALITY AND STARS

Closing the Gap: Improving cervical cancer prevention

Jamison Gillitzer

Jan 25, 2023

QUALITY AND STARS

Webinar: Reviewing HEDIS MY 2021 and looking ahead to MY 2022

Jamison Gillitzer

Jun 30, 2022

QUALITY AND STARS

NCQA publishes proposed changes to HEDIS measures for MY 2022

Jamison Gillitzer

Mar 2, 2021

QUALITY AND STARS

Breaking down NCQA’s proposed changes for HEDIS Measurement Year 2020

Jamison Gillitzer

Feb 20, 2020

QUALITY AND STARS

From the HEDIS® 2019 trenches: the final countdown

Jamison Gillitzer

Jun 10, 2019

QUALITY AND STARS

Looking ahead: proposed measure changes for HEDIS® 2020

Jamison Gillitzer

Mar 6, 2019

QUALITY AND STARS

From the HEDIS® 2019 trenches: getting your data in order

Jamison Gillitzer

Jan 24, 2019

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