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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Stopping “phantom providers” with prepay intervention

Erin Rutzler

Nov 3, 2025

Latest Content

QUALITY AND STARS

2026 Star Ratings: What they mean and what comes next

Marge Ciancetta

Oct 29, 2025

PAYMENT INTEGRITY

Case Study: Regional Blue Plan performs beyond hype with Data Mining

Kevin Laskey

Oct 23, 2025

RISK ADJUSTMENT

Webinar: Navigating 2026 coding updates for risk adjustment success

Katie Sender, MSN, RN, PHN, CRC

Oct 21, 2025

QUALITY AND STARS

Webinar: Decoding the 2026 Star Ratings

Marge Ciancetta

Oct 17, 2025

COVID-19

PAYMENT INTEGRITY

Q&A: Highmark's payment integrity director on new COVID-19 claim trends

Michael Jablon

Aug 17, 2020

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