This site uses cookies to provide you with a more responsive and personalized service. By using this site you agree to our use of cookies. Please read our cookie notice for more information on the cookies we use and how to delete or block them.

Bookmark Email Print this page

@Regulatory: August 2014

How effective is your health insurance exchange compliance program?


In today’s complex healthcare landscape, many health plans face a significant challenge - establish a rigorous Health Insurance Exchange regulatory compliance program or risk potential financial losses and operational disruptions by ‘getting compliance wrong.’ Deploying an effective compliance program should be a strategic aspiration for health plans. The program should aid the business in managing the full scale of risk across business lines, eliminating silos and proactively addressing risk before non-compliance events occur. Organizations that are successful in this endeavor apply an integrated approach to assessing and managing compliance risk, and delivering an organization-wide response to the highest priority risks. In this edition of @Regulatory, we discuss the expected enforcement of compliance standards for plans participating in exchanges, key areas that qualified health plans (QHPs) on the Federally-Facilitated Marketplace (FFM) should focus on in the short-term, and steps that plans should consider to build strong compliance programs.

Download the PDF to learn more.

For previous issues of the newsletter, visit the archive page.

Share this page

Email this Send to LinkedIn Send to Facebook Tweet this More sharing options

Stay connected