White Paper: Preparing for success in Medicare Advantage risk adjustment

Risk adjustment is a crucial component of Medicare Advantage (MA), ensuring that payments to MA plans…

Maharashtra to launch ₹1,600 Cr MEMS 108 ambulance project with SUMEET SSG BVG

Maharashtra Public Health Department has signed a 10-year concessionaire agreement with SUMEET SSG BVG Maharashtra EMS…

FWA Insights: Reducing audit abrasion

Fraud, waste, and abuse (FWA) audits play a crucial role in ensuring healthcare payment integrity by…

Indian and US researchers identify new MODY diabetes subtype linked to ABCC8 gene

Researchers from the Madras Diabetes Research Foundation (MDRF), Chennai, and Washington University School of Medicine in…

Webinar: Confronting payment integrity challenges in 2025

Keeping pace with the constant updates to HCPCS codes, CPT codes, and both local and national…

How grief transformed a psychiatrist’s approach to patient care

It is a routine Saturday morning—I am sitting in my office, looking at the snowflakes dropping…

MSF South Asia hosts TB day in Mumbai, shifts focus to advocacy and system strengthening

MSF transitions from service delivery to capacity building, convenes experts and TB survivors to address drug-resistant…

Busted: The top healthcare fraud schemes of Q4 2024

As 2024 came to a close, significant cases of fraud, waste, and abuse (FWA) in the…

BorderPlus announces INR 10 Crore scholarship programme for Indian nurses

Training and Support Centre launched in Kochi to assist over 500 nursing candidates with exam prep,…

Case study: The value of cross-payer analytics

As payers continue to be plagued by rising medical loss ratios (MLR) and seek to control…