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Our latest healthcare insights and perspectives

QUALITY AND STARS

RISK ADJUSTMENT

3 updates from the 2026 CMS Final Rate Announcement

Branka Sustic

Apr 14, 2025

Latest Content

FRAUD, WASTE, AND ABUSE

FWA Insights: Skin grafts and substitutes

Jamecia Cousar

Apr 9, 2025

PAYMENT INTEGRITY

Case study: The value of cross-payer analytics

Jonathan Edwards

Apr 2, 2025

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler

Mar 19, 2025

PAYMENT INTEGRITY

Webinar: Confronting payment integrity challenges in 2025

Warren Lesnefsky

Mar 13, 2025

Popular

01

Busted: The top fraud schemes of Q1 2024

Erin Rutzler

May 14, 2024

02

Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler

Mar 19, 2025

03

NCQA releases proposed HEDIS MY 2026 updates

Samantha Davis

Mar 4, 2025

04

Busted: The top fraud schemes of Q2 2024

Erin Rutzler

Aug 15, 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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