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Our latest healthcare insights and perspectives

PAYMENT INTEGRITY

Payment integrity: Unlocking the value of complex outpatient reviews

Amy Carleton, RN, BSN

May 7, 2025

Latest Content

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2025

Erin Rutzler

Apr 30, 2025

QUALITY AND STARS

RISK ADJUSTMENT

3 updates from the 2026 CMS Final Rate Announcement

Branka Sustic

Apr 14, 2025

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

Popular

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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

The 2026 CMS Advance Notice: 3 key takeaways

Branka Sustic

Jan 21, 2025

04

NCQA releases proposed HEDIS MY 2026 updates

Samantha Davis

Mar 4, 2025

QUALITY AND STARS

Podcast: New Star Ratings strategies for success in 2025 and beyond

Marge Ciancetta

May 20, 2024

QUALITY AND STARS

Webinar: Implications of the 2025 CMS Final Rate Announcement for quality programs

Marge Ciancetta

Apr 11, 2024

QUALITY AND STARS

Quality Decoded webinar series: 2025 CMS Advance Notice

Marge Ciancetta

Feb 20, 2024

QUALITY AND STARS

Closing the Gap: American Diabetes Month

Marge Ciancetta

Nov 2, 2023

QUALITY AND STARS

3 takeaways from the 2024 Star Ratings

Marge Ciancetta

Oct 23, 2023

QUALITY AND STARS

Navigating changes in Star Ratings programs: Enhancing success with four key steps

Marge Ciancetta

Jul 24, 2023

QUALITY AND STARS

Closing the Gap: Men’s Health Month

Marge Ciancetta

May 30, 2023

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