by Blog Master | Aug 24, 2026 | MarketingBlog, Uncategorized
Fraud is rarely just one claim, one provider or one data point. That’s one of the reasons conversations happening this week at NAMPI 2026 matter. As Medicaid program integrity leaders come together in Portland, there’s increasing focus across the industry on finding...
by Blog Master | Aug 20, 2026 | MarketingBlog, Uncategorized
When the way healthcare gets paid changes, fraud changes with it. The shift from fee-for-service toward value-based care was designed to reward better outcomes rather than simply more services. But changing financial incentives doesn’t eliminate fraud, waste and...
by Blog Master | Aug 19, 2026 | MarketingBlog, Uncategorized
An excellent read — and an important glimpse into how the healthcare fraud enforcement environment may continue to evolve. One takeaway stands out: health plans and healthcare organizations may increasingly need to navigate a growing volume of guidance, shifting...
by Blog Master | Aug 19, 2026 | MarketingBlog, Uncategorized
Next stop: NAMPI 2026 in Portland. Our CoventBridge Integrity Systems team is looking forward to joining Medicaid program integrity leaders from across the country to exchange ideas, examine emerging fraud, waste and abuse challenges, and discuss what it takes to turn...
by Blog Master | Aug 19, 2026 | MarketingBlog, Uncategorized
Your data can tell you something looks wrong. It can’t always tell you why. We have access to more sophisticated analytics, AI and fraud-detection technology than ever before. That’s a good thing. But an algorithm can identify: → An unusual billing pattern...
by Blog Master | Aug 18, 2026 | MarketingBlog, Uncategorized
Healthcare fraud is no longer confined by state lines — or even U.S. borders. The 2026 National Health Care Fraud Takedown showed just how major international healthcare schemes have become. DOJ announced charges against 455 defendants involving more than $6.5 billion...
