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Our latest healthcare insights and perspectives

RISK ADJUSTMENT

3 key risk adjustment strategies to drive success in 2024

Katie Sender, MSN, RN, PHN, CRC

Apr 18, 2024

Latest Content

PAYMENT INTEGRITY

Webinar: Unlock the “Total Value” of your payment integrity program

Michael Jablon

Apr 16, 2024

QUALITY AND STARS

Webinar: Implications of the 2025 CMS Final Rate Announcement for quality programs

Marge Ciancetta

Apr 11, 2024

PAYMENT INTEGRITY

Case study: Coordination of benefits (COB) results soar for large national plan

Evan Okulanis

Apr 9, 2024

PAYMENT INTEGRITY

Podcast: The "Total Value" approach to payment integrity

Jeff Robinson

Mar 26, 2024

Popular

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3 takeaways from the 2025 Advance Notice

Branka Sustic

Feb 8, 2024

02

FWA Insights: Catching schemes related to Ozempic, Wegovy, and semaglutides

Melanie Poole

Aug 2, 2023

03

Busted: The top fraud schemes of Q2 2023

Erin Rutzler

Aug 29, 2023

04

Busted: The top fraud schemes of Q1 2023

Erin Rutzler

May 4, 2023

RISK ADJUSTMENT

Breaking it down: CMS reinstates ACA risk adjustment payments

Rebecca Darnall

Jul 25, 2018

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