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Our latest healthcare insights and perspectives

QUALITY AND STARS

Star Ratings reset: How MA plans can prepare

Marge Ciancetta

Dec 16, 2025

Latest Content

RISK ADJUSTMENT

Checklist: Creating a comprehensive risk adjustment program for the new year

Amanda Liu

Dec 10, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Billing for services not rendered

Heather Weible, CPC

Dec 8, 2025

PAYMENT INTEGRITY

Webinar: Upcoming regulations and their potential payment integrity impact

Warren Lesnefsky

Dec 4, 2025

RISK ADJUSTMENT

Navigating the 2026 ICD-10-CM coding updates

Katie Sender, MSN, RN, PHN, CRC

Dec 2, 2025

Popular

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Busted: The top fraud schemes of Q2 2025

Erin Rutzler

Sep 25, 2025

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

Busted: The top fraud schemes of Q1 2025

Erin Rutzler

Apr 30, 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

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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