Our latest healthcare insights and perspectives
FRAUD, WASTE, AND ABUSE
Realizing the evolution of FWA prevention and managementWarren Lesnefsky
Nov 18, 2024
FRAUD, WASTE, AND ABUSE
Case study: Highmark Wholecare prevents FWA with Claim Pattern ReviewErin Rutzler
Nov 6, 2024
CONSUMER ENGAGEMENT
Case study: Engaging members to apply for the Low-Income Subsidy (LIS)Leah Dewey
Oct 30, 2024
QUALITY AND STARS
3 takeaways for Medicare Advantage plans from the 2025 Star RatingsMarge Ciancetta
Oct 28, 2024
PAYMENT INTEGRITY
Video: How to shorten time to payment integrity resultsMatthew Hawley
Aug 3, 2022
PAYMENT INTEGRITY
Execute healthcare claims editing more accurately—with less provider abrasionMatthew Hawley
Sep 22, 2021