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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

PAYMENT INTEGRITY

White paper: The “smart prepay” approach to payment integrity

Matthew Hawley

Apr 20, 2023

QUALITY AND STARS

CONSUMER ENGAGEMENT

Closing the Gap: National Minority Health Month

Leah Dewey

Apr 17, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Prepay review leads to >$100K in projected annual savings

Erin Rutzler, AHFI, CFE, CHC, CPC

Mar 28, 2023

FRAUD, WASTE, AND ABUSE

Webinar: Sequencing investigative activities for greater provider impact

Erin Rutzler, AHFI, CFE, CHC, CPC

Mar 22, 2023

FRAUD, WASTE, AND ABUSE

Podcast: How health plans investigate and prevent FWA

Jeff Robinson

Mar 2, 2023

QUALITY AND STARS

Summary: NCQA releases proposed HEDIS changes for MY 2024 and MY 2025

Samantha Davis

Feb 23, 2023

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