Regulatory Compliance Challenges for Payers

  1. Managing fee schedules: 19%
  2. Lack of technology/partners to enable regulatory compliance: 19%
  3. Technology/infrastructure that can’t keep up: 16%
  4. Lack of in-house government rules experts: 16%
  5. Lack of IT staff or resources to make changes: 14%
  6. Interoperability mandates: 13%
  7. N/A: 3%
Notes: From HealthEdge survey, in response to question, "What is your organization's biggest challenge to staying compliant with the CMS frequent changes to quality standards and payment rules?"

Source: 2024 HealthEdge Annual Payer Market Report, February 2024 - https://healthedge.com/resources/survey-resources/annual-healthedge-payer-marke…