Our latest healthcare insights and perspectives
FRAUD, WASTE, AND ABUSE
FWA Insights: Appropriate billing of intensive outpatient programsKatie Lewis, RN, BS, CPC
Oct 15, 2025
QUALITY AND STARS
Case Study: How one plan transformed its Star Ratings strategyDani Sutherland
Oct 13, 2025
RISK ADJUSTMENT
Preparing for 2026: Adapting to new risk adjustment regulationsKatie Sender, MSN, RN, PHN, CRC
Oct 9, 2025
QUALITY AND STARS
MY 2026: Breaking down the latest HEDIS Technical SpecificationsSamantha Davis
Oct 7, 2025
PAYMENT INTEGRITY
Case study: Regional plan exceeds expectations with second-pass COBEvan Okulanis
Oct 2, 2025
Yolanda Wilson, MPH, CPC
May 13, 2025
QUALITY AND STARS
NCQA confirms HEDIS® updates for Measurement Year (MY) 2024Samantha Davis
Sep 18, 2023
QUALITY AND STARS
Summary: NCQA releases proposed HEDIS changes for MY 2024 and MY 2025Samantha Davis
Feb 23, 2023
QUALITY AND STARS
HEDIS MY 2023: Noteworthy topics to consider during NCQA’s public comment periodSamantha Davis
Mar 9, 2022
QUALITY AND STARS
NCQA publishes proposed changes to HEDIS measures for MY 2023Samantha Davis
Feb 24, 2022