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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

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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