Top Compliance Priorities for U.S. Healthcare Organizations in 2025 Download By Leyla Erkan, Managing Director, Global Healthcare Compliance Leader Protiviti’s risk and compliance experts weigh in on the top compliance priorities for healthcare organizations in 2025 and what these changes mean under a new administration. Providers, payers, and life sciences organizations must refine their strategies to comply with evolving regulatory requirements and enforcement, while also capitalizing on the opportunities presented by emerging technologies.Key Takeaways:Regulatory Landscape Shifts: Adapt to evolving regulations and enforcement priorities with agility, foresight, and a proactive approach to stay ahead of the curve.Strategic Role of CCOs: Discover how Chief Compliance Officers, serving as strategic advisors, can embrace the challenges ahead and lead effective compliance programs in a highly dynamic environment.Focus Areas for Compliance: Gain insights into key compliance areas that will shape healthcare practices such as emerging technologies, quality and safety, data privacy, fraud, waste and abuse, Medicare Advantage, and marketing and advertising. Download Overview of industry compliance priorities The provider, payer and life sciences segments each have unique compliance priorities while similarly trying to ensure, at their core, they achieve exceptional patient, consumer and member care along with high levels of satisfaction and employee retention. ProvidersPayersLife SciencesManagement of emerging technologies Medicare AdvantageArtificial IntelligencePrivacy and data securityRisk adjustmentPrivacy and data securityQuality and safety complianceFraud, waste and abuseMarketing and advertisingBilling and coding complianceVendor and FDR managementThird-party relationships Privacy and data securityAnti-corruption Read full report Featured Insight Long-Awaited HIPAA Security Rule Revamp Formally Proposed with Significant Changes The U.S. Department of Health and Human Services (HHS) published a Notice of Proposed Rule Making (NPRM) related to the HIPAA Security Rule, which went live on January 6, 2025, followed by a 60-day open comment period. The potential changes are the most significant to the HIPAA Security Rule in over a decade. Learn more Topics Cybersecurity and Privacy Internal Audit and Corporate Governance Risk Management and Regulatory Compliance Data, Analytics and Business Intelligence Technology Enablement Artificial Intelligence Industries Healthcare See our latest Compliance Insights Newsletter Learn more Leadership Leyla Erkan Leyla is Protiviti’s Global Healthcare Compliance Practice Leader. She brings over 25 years of experience in compliance and risk management, including a distinguished career as a Chief Compliance, Privacy and Research Officer. Leyla has deep expertise in regulatory ... Learn More
