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Our latest healthcare insights and perspectives

RISK ADJUSTMENT

Preparing for 2026: Adapting to new risk adjustment regulations

Katie Sender, MSN, RN, PHN, CRC

Oct 9, 2025

Latest Content

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

QUALITY AND STARS

Star Ratings Plan Preview: 4 key recommendations

Thelma Belli

Sep 29, 2025

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q2 2025

Erin Rutzler

Sep 25, 2025

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Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler

Mar 19, 2025

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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

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Busted: The top fraud schemes of Q1 2025

Erin Rutzler

Apr 30, 2025

CONSUMER ENGAGEMENT

5 steps for proactive member engagement following Medicaid redeterminations

Leah Dewey

May 23, 2024

CONSUMER ENGAGEMENT

Case study: Reaching Medicaid members amid redetermination

Leah Dewey

Nov 30, 2023

CONSUMER ENGAGEMENT

Webinar: A progress report on Medicaid redetermination

Leah Dewey

Nov 6, 2023

QUALITY AND STARS

CONSUMER ENGAGEMENT

Closing the Gap: National Minority Health Month

Leah Dewey

Apr 17, 2023

CONSUMER ENGAGEMENT

Taking action to prepare for Medicaid redetermination

Leah Dewey

Feb 7, 2023

CONSUMER ENGAGEMENT

How payers can drive collaboration to support health equity

Leah Dewey

Nov 8, 2022

AHIP Webinar: Driving collaboration to support health equity

Leah Dewey

Sep 22, 2022

QUALITY AND STARS

COVID-19

Analysis: Behavioral health conditions, risk, and cost during the COVID-19 pandemic

Leah Dewey

Dec 15, 2021

NETWORK AND CLINICAL ANALYTICS

Redefining value: practical tactics to spur value-based care adoption

Leah Dewey

Jun 10, 2021

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