December 2025

The Billion-Dollar Question: Who Wins and Who Loses After CMS Halts EHO4All?

The Medicare Advantage ecosystem spent two years preparing for one of the most consequential changes to Star Ratings: the Excellent Health Outcomes for All (EHO4All) health equity measure.Insurers upgraded data systems, redesigned care management, and built extensive operational frameworks to lift equity performance. Then CMS abruptly signaled that EHO4All may not move forward in 2027 […]

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When Oversight Fails: What OIG Enforcement Teaches Us About Documentation, Billing Integrity, and Organizational Risk

A recent federal settlement involving Vohra Wound Physicians has once again placed a national spotlight on one of healthcare’s most persistent vulnerabilities: documentation and billing integrity.The case, which resulted in a forty-five million dollar settlement under the False Claims Act, is not an isolated event. It is part of a broader pattern of federal enforcement

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