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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

FWA Insights: Risks and realities of providers billing outside of their specialty

Brittny Eberhart, AHFI

Jul 16, 2026

Latest Content

QUALITY AND STARS

Webinar: Breaking down HEDIS MY 2025

Jamison Gillitzer

Jul 14, 2026

RISK ADJUSTMENT (PAYER)

Risk adjustment with AI: Key do’s and don’ts

Summerpal Kahlon, M.D.

Jul 7, 2026

RISK ADJUSTMENT (PAYER)

Beyond coding: A patient-centered approach to risk adjustment

Betty Stump, MHA

Jul 1, 2026

INTEROPERABILITY

Interpreting public prior authorization metrics

Jason Van Der Jagt

Jun 29, 2026

Popular

01

Busted: The top fraud schemes of Q2 2025

Erin Rutzler, AHFI, CFE, CHC, CPC

Sep 25, 2025

02

2027 CMS Advance Notice: 4 key updates

Betty Stump, MHA

Feb 5, 2026

03

3 key payment integrity trends to watch in 2026

Megan Brennan, CPC, CPCO, CPMA, CFE

Jan 13, 2026

04

FWA Insights: New behavioral health codes for APCM services

Adrianne Glanton, MSN, RN, CPC

Apr 15, 2026

CONSUMER ENGAGEMENT

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

Leah Dewey

Oct 30, 2024

QUALITY AND STARS

3 takeaways for Medicare Advantage plans from the 2025 Star Ratings

Marge Ciancetta

Oct 28, 2024

PAYMENT INTEGRITY

Webinar: What TPAs need to know about payment integrity

Michael Jablon

Oct 24, 2024

CONSUMER ENGAGEMENT

Proactive member engagement strategies to close gaps in Medicare Advantage

Leah Dewey

Oct 17, 2024

RISK ADJUSTMENT

Webinar: Key updates to improve coding accuracy in 2025

Katie Sender, MSN, RN, PHN, CRC

Oct 11, 2024

QUALITY AND STARS

Webinar: Decoding the 2025 Star Ratings

Marge Ciancetta

Oct 8, 2024

RISK ADJUSTMENT

Partnering for success in 3 critical areas of risk adjustment

Chad Kinkead

Sep 30, 2024

QUALITY AND STARS

Decoding the HEDIS MY 2025 Technical Specifications

Samantha Davis

Sep 25, 2024

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