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Our latest healthcare insights and perspectives

RISK ADJUSTMENT

Podcast: Driving lasting impact through interoperability

Kassi Yozzo

Nov 20, 2024

Latest Content

FRAUD, WASTE, AND ABUSE

Realizing the evolution of FWA prevention and management

Warren Lesnefsky

Nov 18, 2024

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q3 2024

Erin Rutzler

Nov 13, 2024

FRAUD, WASTE, AND ABUSE

Case study: Highmark Wholecare prevents FWA with Claim Pattern Review

Erin Rutzler

Nov 6, 2024

CONSUMER ENGAGEMENT

Case study: Engaging members to apply for the Low-Income Subsidy (LIS)

Leah Dewey

Oct 30, 2024

Popular

01

3 takeaways from the 2025 Advance Notice

Branka Sustic

Feb 8, 2024

02

Busted: The top fraud schemes of Q1 2024

Erin Rutzler

May 14, 2024

03

NCQA releases proposed HEDIS MY 2025 updates

Samantha Davis

Feb 28, 2024

04

Busted: The top fraud schemes of Q4 2023

Erin Rutzler

Feb 6, 2024

Case study: How Health Partners Plans recovered a >$1M overpayment

Warren Lesnefsky

Oct 10, 2019

PAYMENT INTEGRITY

Busted: the top 10 healthcare fraud schemes of Q3 2019

Warren Lesnefsky

Oct 7, 2019

PAYMENT INTEGRITY

Busted: the top fraud charges of Q2 2019

Warren Lesnefsky

Jul 18, 2019

PAYMENT INTEGRITY

Busted: the top fraud schemes of Q1 2019

Warren Lesnefsky

Apr 23, 2019

PAYMENT INTEGRITY

Busted: rounding up the top fraud schemes of Q3-Q4 2018

Warren Lesnefsky

Jan 10, 2019

PAYMENT INTEGRITY

busted: rounding up the top fraud schemes of Q2 2018

Warren Lesnefsky

Aug 1, 2018

PAYMENT INTEGRITY

Busted: The top fraud schemes of Q1 2018

Warren Lesnefsky

Apr 18, 2018

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