June 17, 2026

Slice of Healthcare: Building the infrastructure layer healthcare's never had

June 16, 2026

Lifers Podcast: Why payer-provider friction is finally fixable

February 24, 2026

2026 Star Ratings Shift: 4 strategies for MA plans

January 29, 2026

Fighting phantom providers in 2026

January 12, 2026

Podcast: The fundamentals of coordination of benefits

December 11, 2025

Right-sizing Star Ratings: How health plans can adapt

December 10, 2025

Interoperability 2026: Are we FHIRed up yet?

December 8, 2025

Clean up your defenses: Why health plans can't afford to wait on fraud hygiene

December 1, 2025

Building a foundation for HEDIS success amid change

November 12, 2025

Star Ratings stabilizing, but health plans should be ready for changes

November 4, 2025

Demystifying prepay coordination of benefits: A crucial component of payment integrity

October 9, 2025

Modern risk adjustment: Building a framework for resilience and precision

September 18, 2025

The main barriers to achieving true interoperability

August 20, 2025

CMS Star Ratings: Keeping up with the 2026 Final Rule

August 11, 2025

Employing AI in coding and risk adjustment: 4 key recommendations

July 21, 2025

Balancing AI and human expertise in risk adjustment coding

June 26, 2025

6 communication strategies to improve rural health outcomes

May 13, 2025

Bridging care gaps and improving access for rural members

May 1, 2025

Strategic recommendations for the 2026 CMS Final Rule

March 18, 2025

Mitigating the challenges of integrating AI into existing IT infrastructures

February 17, 2025

Health equity: Why it's vital to Star Ratings performance

February 10, 2025

AI: A good tool to combat bad actors in healthcare

February 4, 2025

Partnering with community organizations to ensure care access

January 24, 2025

Addressing health inequities through data collection and analysis

December 27, 2024

2024 trends and 2025 predictions: Risk adjustment

December 19, 2024

Interoperability predictions for 2025

November 20, 2024

Using AI to enhance payment integrity

November 11, 2024

Member experience: The third pillar of payer data priorities

October 31, 2024

Beyond medical cost savings: Optimizing payment integrity value

September 27, 2024

Finding success amid complexity: 3 payer strategies for better risk adjustment results

September 5, 2024

Payment integrity: The second pillar of payer data priorities

August 22, 2024

How payers can drive better payment integrity value

August 16, 2024

5 things Medicare Advantage plans can do to improve their Star Ratings

August 15, 2024

Effective strategies to enhance Medicare Advantage Star Ratings

August 9, 2024

Interoperability: The first pillar of payer data priorities

July 29, 2024

Preparing for the next wave of interoperability: Strategies for health plans

July 1, 2024

Strategies for adjusting with healthcare interoperability

June 30, 2024

Mental health fraud schemes: How to protect your plan

May 17, 2024

Podcast: New Star Ratings strategies for success in 2025 and beyond

April 20, 2024

Improving Star Ratings: Strategies For smaller Medicare Advantage plans

April 15, 2024

The promise and potential of clinical data exchange

February 2, 2024

Overcoming Medicaid redetermination hurdles in 2024

January 31, 2024

2024 Outlook: Data-driven approaches are key to success

January 10, 2024

2024 predictions from health executives: Member engagement

January 9, 2024

2025-2026 Star Ratings: The path to success

December 14, 2023

How payers can manage “unwinding” challenges in Medicaid and CHIP

December 13, 2023

Four health IT experts point to impactful trends in 2024

October 29, 2023

Beyond the Public Health Emergency: How health plans can rise above the chaos

October 16, 2023

Four key elements for achieving AI’s true potential for claim payment integrity

August 18, 2023

Detecting behavioral health fraud: How health plans can strengthen their approach

August 9, 2023

Improving health equity: Strategies for health plans to achieve meaningful progress

August 3, 2023

Uninsured rate hit record low in early 2023, CDC says

June 20, 2023

Navigating the “Wild West” of payment integrity with a data-driven approach

May 30, 2023

“Wild West” of healthcare demands robust approach to payment integrity

May 5, 2023

Preventing genetic testing fraud: 5 actions for health plans

April 12, 2023

Tailored outreach is key to driving Medicaid engagement

March 2, 2023

Healthcare de Jure Podcast: How health plans investigate and prevent FWA

February 3, 2023

5 ways insurers can improve value for polychronic members

January 26, 2023

Going on Offense Against Fraud, Waste and Abuse in Behavioral Telehealth: 3 Key Actions

January 10, 2023

2023 predictions from health executives: Consumer experience, economic considerations

January 6, 2023

Healthcare executives make predictions for 2023

January 6, 2023

What's old is new again: Putting IT processes back in users’ hands for greater value

January 2, 2023

The business and finance of healthcare in 2023

December 21, 2022

2023 forecast: Providers embrace start of new requirements on health equity

December 4, 2022

Bouncing Back from Lower Medicare Star Ratings: 3 Strategies for Health Plans

October 10, 2022

Medicare Advantage at the tipping point: A preview of 2023 open enrollment

September 26, 2022

Engaging vulnerable populations: Making the right connections for better health

June 28, 2022

Why Health Plans are Vital to Health Equity

June 15, 2022

Beyond Prior Authorization: 4 Ways to Control Specialty Drug Costs

May 13, 2022

Improving Health Equity: How Payers Can Support Providers

May 11, 2022

Combatting Vaccine Hesitancy with Personalization, Empathy, and Storytelling

May 9, 2022

Podcast: Interoperability and value-based care

April 6, 2022

Podcast: How expanding access to data around SDoH improves care, risk assessment

April 5, 2022

Podcast: The Lance Jay Radio network

February 18, 2022

3 Critical Tools for Health Plans in Navigating the Great Resignation

January 21, 2022

2022 Predictions for Healthcare Interoperability

January 6, 2022

2022 Predictions From Health IT Executives: Interoperability, AI, and More

December 12, 2021

10 lasting changes to U.S. healthcare after COVID-19

November 18, 2021

What’s holding health plans back from gains in interoperability? Technical readiness

November 8, 2021

It's time for a collaborative approach to gene therapy reimbursement

November 8, 2021

The Future of Artificial Intelligence In Direct Patient Care

October 14, 2021

Podcast: Embracing change in healthcare and beyond

October 4, 2021

Closing Gaps in Care for the Most Vulnerable

September 27, 2021

Five Policy Changes to Reduce U.S. Drug Prices

September 9, 2021

The Journey to 4-Star Performance: How Data Analytics Make the Difference

August 26, 2021

Why True Healthcare Data Intelligence Depends on an AI-Powered Cloud

August 18, 2021

How the COVID-19 pandemic affected value-based reimbursement

August 16, 2021

The secret behind value-based care success

July 26, 2021

Podcast: Addressing waste in the U.S. healthcare system

July 21, 2021

Why ethical sharing of patient health data is crucial

June 30, 2021

Downshifting Risk Through Payer-Provider Partnerships on the Road to Value-Based Care

June 29, 2021

Strengthening Payer-Provider Partnership for Value: Why data transparency is key

June 11, 2021

Why Provider-Payer Collaboration is the Secret to Value-Based Success

April 28, 2021

Interoperability Is Catching FHIR

March 3, 2021

Could AI reduce healthcare waste? Approach of online retailers could provide clues

February 21, 2021

Nicole Neumarker Discusses the Key to Developing Large Health Care Data Models

February 11, 2021

How Health Organizations Can Adapt Their Data Systems to Mirror Amazon Model

January 19, 2021

A Waltham company is using AI to predict COVID-19 hotspots

January 7, 2021

Trends to look for in 2021