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Our latest healthcare insights and perspectives

RISK ADJUSTMENT

White paper: Commercial risk adjustment updates to prepare for in 2026

Amanda Liu

May 22, 2025

Latest Content

QUALITY AND STARS

Star Ratings: 4 recommendations for the 2026 CMS Final Rule

Marge Ciancetta

May 20, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

PAYMENT INTEGRITY

Payment integrity: Unlocking the value of complex outpatient reviews

Amy Carleton, RN, BSN

May 7, 2025

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2025

Erin Rutzler

Apr 30, 2025

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Busted: The top fraud schemes of Q1 2024

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Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler

Mar 19, 2025

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FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

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The 2026 CMS Advance Notice: 3 key takeaways

Branka Sustic

Jan 21, 2025

QUALITY AND STARS

What to expect from CMS recalculating Star Ratings

Marge Ciancetta

Jun 24, 2024

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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