HealthAxis InFocus: Health Plan Compliance – Six Key Areas to Prioritize in 2025

Health plans face increasingly complex compliance demands. In this HealthAxis InFocus video, Compliance Officer Milonda Mitchell delves into the six priority areas health plans should focus on to reduce risk and excel in 2025.

Key Compliance Priorities Covered in the Video:

• Medicare and Medicaid Program Integrity – Steps to prevent fraud and improve quality.
• Affordable Care Act (ACA) and Commercial Plan Compliance – Navigating the No Surprises Act and billing transparency.
• Privacy, Cybersecurity, and Interoperability – Ensuring secure data access and meeting HIPAA standards.
• Health Equity – Addressing social determinants and promoting equitable care.
• Operational Transparency and Member Communication – Providing clear, timely information to members.
• CY 2025 Technical Changes – Preparing for upcoming shifts in data reporting and risk adjustment.

Watch the video below for a closer look at each area and find out how health plans can stay ahead of regulatory shifts while building trust with members.

At HealthAxis, compliance is embedded into our technology and services, ensuring health plans can operate with confidence in a complex regulatory landscape. Schedule a call with our experts to learn how we can help fortify your organization against risks and ensure continuous alignment with healthcare regulations.