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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Appropriate billing of intensive outpatient programs

Katie Lewis, RN, BS, CPC

Oct 15, 2025

Latest Content

QUALITY AND STARS

Case Study: How one plan transformed its Star Ratings strategy

Dani Sutherland

Oct 13, 2025

RISK ADJUSTMENT

Preparing for 2026: Adapting to new risk adjustment regulations

Katie Sender, MSN, RN, PHN, CRC

Oct 9, 2025

QUALITY AND STARS

MY 2026: Breaking down the latest HEDIS Technical Specifications

Samantha Davis

Oct 7, 2025

PAYMENT INTEGRITY

Case study: Regional plan exceeds expectations with second-pass COB

Evan Okulanis

Oct 2, 2025

QUALITY AND STARS

NCQA releases proposed HEDIS MY 2025 updates

Samantha Davis

Feb 28, 2024

QUALITY AND STARS

NCQA confirms HEDIS® updates for Measurement Year (MY) 2024

Samantha Davis

Sep 18, 2023

QUALITY AND STARS

Summary: NCQA releases proposed HEDIS changes for MY 2024 and MY 2025

Samantha Davis

Feb 23, 2023

QUALITY AND STARS

NCQA publishes proposed changes to HEDIS measures for MY 2023

Samantha Davis

Feb 24, 2022

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