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Our latest healthcare insights and perspectives

RISK ADJUSTMENT (PAYER)

Risk adjustment with AI: Key do’s and don’ts

Summerpal Kahlon, M.D.

Jul 7, 2026

Latest Content

RISK ADJUSTMENT (PAYER)

Beyond coding: A patient-centered approach to risk adjustment

Betty Stump, MHA

Jul 1, 2026

INTEROPERABILITY

Interpreting public prior authorization metrics

Jason Van Der Jagt

Jun 29, 2026

QUALITY & STARS

What the Clover Insurance decision means for 2027 QBP determinations

Marge Ciancetta

Jun 26, 2026

RISK ADJUSTMENT (PROVIDER)

Case Study: Improving risk capture with advanced pre-visit prep

Betty Stump, MHA

Jun 23, 2026

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Busted: The top fraud schemes of Q2 2025

Erin Rutzler, AHFI, CFE, CHC, CPC

Sep 25, 2025

02

2027 CMS Advance Notice: 4 key updates

Betty Stump, MHA

Feb 5, 2026

03

3 key payment integrity trends to watch in 2026

Megan Brennan, CPC, CPCO, CPMA, CFE

Jan 13, 2026

04

FWA Insights: New behavioral health codes for APCM services

Adrianne Glanton, MSN, RN, CPC

Apr 15, 2026

QUALITY AND STARS

Webinar: Decoding the 2026 Star Ratings

Marge Ciancetta

Oct 17, 2025

QUALITY AND STARS

Star Ratings: 4 recommendations for the 2026 CMS Final Rule

Marge Ciancetta

May 20, 2025

QUALITY AND STARS

Webinar: Breaking down the 2026 CMS Advance Notice

Marge Ciancetta

Feb 5, 2025

QUALITY AND STARS

3 takeaways for Medicare Advantage plans from the 2025 Star Ratings

Marge Ciancetta

Oct 28, 2024

QUALITY AND STARS

Webinar: Decoding the 2025 Star Ratings

Marge Ciancetta

Oct 8, 2024

QUALITY AND STARS

Podcast: Star Ratings strategies for smaller MA plans

Marge Ciancetta

Aug 22, 2024

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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