Is a Universal Coronavirus Vaccine in Our Future?

3 Red Flags That Could Indicate Telehealth Fraud, Waste and Abuse

Beyond Buzzwords: Population Health Management & Spatiotemporal Analysis

Did you know space-time data analysis can improve health outcomes while reducing costs? We explain what this all means and how we’re using spatiotemporal techniques to move healthcare forward.

How Population Health Management Can Help State Budgets & Public Health In Crisis

Fraud-Proof Your Telehealth Strategy for the New Healthcare Normal

Health Outreach Consumers Want & Need: Adopting a More-Is-More Approach to Health Engagement

Using Episodes of Care Reviews To Follow the Patient Journey

As Payment Accuracy Shifts To a Member-Centric Approach, Recovery of Overpayments Accelerates

Advancing Drug Development During the Pandemic: Challenges & Opportunities

Consumer Engagement: The Key To Mitigating the Pandemic’s Secondary Health Crises

3 Ways To Strengthen Program Integrity Around Prescription Drug Coverage

In this blog post, we'll examine three program integrity best practices for controlling prescription drug costs, including special considerations in light of COVID-19.

Increasing Breast Cancer Screening for Women

On average, only 55% of the women who should get mammograms actually do. More work remains to engage and educate women to get timely breast cancer screenings.

Modernize Your Program Integrity Operations With These 6 Audit Efficiencies

Bridging the Telehealth Education Gap for Medicare Members

The Cost of Racial Inequity in Healthcare

5 Potential Sources of COVID-19-Related Fraud, Waste & Abuse

In our latest blog, we highlight five potential sources of fraud, waste and abuse that may stem from the COVID-19 crisis.

How COVID-19 Is Transforming the Regulatory Landscape

Subrogation & Healthcare Claims: Is Your Plan Leaving Money on the Table?

If your health plan isn’t using subrogation to recover medical costs that another party is responsible for, you may be leaving money on the table.

A State’s Guide to Program Integrity in a Pandemic

Beyond Buzzwords: Anomaly Detection in Machine Learning