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Our latest healthcare insights and perspectives

RISK ADJUSTMENT

Podcast: An innovation roadmap for risk adjustment strategies

Kassi Yozzo

Nov 24, 2025

Latest Content

PAYMENT INTEGRITY

eBook: Setting up for coordination of benefits (COB) success

Evan Okulanis

Nov 12, 2025

PAYMENT INTEGRITY

The practical landscape of AI in payment integrity and VBP

Brett Arnold

Nov 5, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Stopping “phantom providers” with prepay intervention

Erin Rutzler

Nov 3, 2025

QUALITY AND STARS

2026 Star Ratings: What they mean and what comes next

Marge Ciancetta

Oct 29, 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

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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