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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

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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

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