by Blog Master | Aug 14, 2026 | MarketingBlog, Uncategorized
Program integrity is moving from the back office to the boardroom. The latest enforcement activity should have every healthcare payer asking a bigger question: Are we identifying risk early enough — or explaining it after the fact? HHS-OIG recently reported billions...
by Blog Master | Jul 18, 2026 | MarketingBlog, Uncategorized
The next frontier of healthcare fraud may not look like the last. As payment models continue to evolve, value-based care is creating new opportunities to improve quality and outcomes—but it is also changing where risk can emerge, how improper activity may be...
by Blog Master | Jul 17, 2026 | MarketingBlog, Uncategorized
We are proud Diamond Partners of the Michigan Association of Health Plans. Don’t forgot to join us next week at the MAHP Annual Conference!
by Blog Master | Jul 9, 2026 | MarketingBlog, Uncategorized
Medicaid Budget Pressures Put Program Integrity in the Spotlight. As states face growing Medicaid budget challenges, managed care organizations are under increased pressure to identify savings, reduce improper payments, and strengthen fraud, waste, and abuse...
by Blog Master | Jun 12, 2026 | MarketingBlog, Uncategorized
In case you missed it, the Office of Inspector General (OIG) has released Industry Segment-Specific Compliance Program Guidance. This comprehensive guide covers several key areas: • Access to Care • Marketing and Enrollment • Risk Adjustment • Quality of Care •...
