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Our latest healthcare insights and perspectives

RISK ADJUSTMENT

White paper: Commercial risk adjustment updates to prepare for in 2026

Amanda Liu

May 22, 2025

Latest Content

QUALITY AND STARS

Star Ratings: 4 recommendations for the 2026 CMS Final Rule

Marge Ciancetta

May 20, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

PAYMENT INTEGRITY

Payment integrity: Unlocking the value of complex outpatient reviews

Amy Carleton, RN, BSN

May 7, 2025

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2025

Erin Rutzler

Apr 30, 2025

Popular

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Busted: The top fraud schemes of Q1 2024

Erin Rutzler

May 14, 2024

02

Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler

Mar 19, 2025

03

FWA Insights: Solving durable medical equipment (DME) challenges

Yolanda Wilson, MPH, CPC

May 13, 2025

04

The 2026 CMS Advance Notice: 3 key takeaways

Branka Sustic

Jan 21, 2025

QUALITY AND STARS

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

Samantha Davis

Feb 23, 2023

QUALITY AND STARS

HEDIS MY 2023: Noteworthy topics to consider during NCQA’s public comment period

Samantha Davis

Mar 9, 2022

QUALITY AND STARS

NCQA publishes proposed changes to HEDIS measures for MY 2023

Samantha Davis

Feb 24, 2022

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