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Our latest healthcare insights and perspectives

PAYMENT INTEGRITY

Case study: Benefits administrator achieves millions in payment integrity value

Michael Jablon

Nov 25, 2024

Latest Content

RISK ADJUSTMENT

Podcast: Driving lasting impact through interoperability

Kassi Yozzo

Nov 20, 2024

FRAUD, WASTE, AND ABUSE

Realizing the evolution of FWA prevention and management

Warren Lesnefsky

Nov 18, 2024

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q3 2024

Erin Rutzler

Nov 13, 2024

FRAUD, WASTE, AND ABUSE

Case study: Highmark Wholecare prevents FWA with Claim Pattern Review

Erin Rutzler

Nov 6, 2024

Popular

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3 takeaways from the 2025 Advance Notice

Branka Sustic

Feb 8, 2024

02

Busted: The top fraud schemes of Q1 2024

Erin Rutzler

May 14, 2024

03

NCQA releases proposed HEDIS MY 2025 updates

Samantha Davis

Feb 28, 2024

04

Busted: The top fraud schemes of Q4 2023

Erin Rutzler

Feb 6, 2024

RISK ADJUSTMENT

Breaking it down: CMS reinstates ACA risk adjustment payments

Rebecca Darnall

Jul 25, 2018

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