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Our latest healthcare insights and perspectives

RISK ADJUSTMENT

3 key risk adjustment strategies to drive success in 2024

Katie Sender, MSN, RN, PHN, CRC

Apr 18, 2024

Latest Content

PAYMENT INTEGRITY

Webinar: Unlock the “Total Value” of your payment integrity program

Michael Jablon

Apr 16, 2024

QUALITY AND STARS

Webinar: Implications of the 2025 CMS Final Rate Announcement for quality programs

Marge Ciancetta

Apr 11, 2024

PAYMENT INTEGRITY

Case study: Coordination of benefits (COB) results soar for large national plan

Evan Okulanis

Apr 9, 2024

PAYMENT INTEGRITY

Podcast: The "Total Value" approach to payment integrity

Jeff Robinson

Mar 26, 2024

Popular

01

3 takeaways from the 2025 Advance Notice

Branka Sustic

Feb 8, 2024

02

FWA Insights: Catching schemes related to Ozempic, Wegovy, and semaglutides

Melanie Poole

Aug 2, 2023

03

Busted: The top fraud schemes of Q2 2023

Erin Rutzler

Aug 29, 2023

04

Busted: The top fraud schemes of Q1 2023

Erin Rutzler

May 4, 2023

QUALITY AND STARS

Breaking down NCQA’s proposed changes for HEDIS Measurement Year 2020

Jamison Gillitzer

Feb 20, 2020

QUALITY AND STARS

From the HEDIS® 2019 trenches: the final countdown

Jamison Gillitzer

Jun 10, 2019

QUALITY AND STARS

Looking ahead: proposed measure changes for HEDIS® 2020

Jamison Gillitzer

Mar 6, 2019

QUALITY AND STARS

From the HEDIS® 2019 trenches: getting your data in order

Jamison Gillitzer

Jan 24, 2019

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