Blog

Health Plans: Your BI Tells You MLR Moved. Can Your...

By Aaron Zavora and Jonathan Thompson A health plan CFO...

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Blog

2026 Health Plan Payment Integrity Trends

By Sue Riddell, Director, Payer Strategy 5 Insights From the...

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Blog

Every year, your team rediscovers the same billing error. And...

By Tracy Delgado, CSPO, RHIA, Sr. Product Manager, Payment Integrity...

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Blog

MESC 2026: Why Medicaid Modernization Stalls on Data

By Leah Shakleton, Senior Director, Government Solutions The Medicaid Enterprise...

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Complex Claims Audit Has a Context Problem: Why Data Assembly,...

By Tracy Delgado, CSPO, RHIA, Sr. Product Manager, Payment Integrity...

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Blog

Your AI Pilot Isn’t Failing. Your Payment Integrity Data Is.

By Tracy Delgado, CSPO, RHIA, Sr. Product Manager, Payment Integrity...

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Press Releases

Abacus Insights Launches Payment Integrity Suite Built on Trusted Data

A unified data foundation helps health plans improve payment integrity...

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White Papers

How Payment Integrity Teams Can Unlock the Promise of AI

Payment Integrity leaders are racing against rising costs and accelerating...

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Blog

CMS-0062-P Signals the Next Phase of Interoperability

Why Plans Can’t Treat It Like a Checkbox Exercise By...

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Blog

CMS Has Spoken: Why the CY 2027 Final Rule Changes...

By Karen Manning, MBA, BSN, RN, Director, Business Solutions CMS...

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Press Releases

Abacus Insights and CoverSelf Partner to Strengthen Payment Integrity for...

As Cost Pressures Mount, Health Plans Now Have a More...

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Blog

What We Heard at HIMSS26: The Payer Perspective (3 Key...

By Gokul Varadharaj, CRO, Abacus Insights The HIMSS Global Health...

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CMS‑0057 Compliance: 3 Proven Models to Meet the 2027 Deadline

The Data Readiness Roadblock, and What Health Plan CEOs Must...

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Blog

How Digital HEDIS® is Powering the Shift to Value Based...

By Karen Manning, MBA, BSN, RN, Director, Business Solutions In...

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Blog

Powering Digital HEDIS® with the CMS Interoperability and Prior Authorization...

By Karen Manning, MBA, BSN, RN, Director, Business Solutions In...

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