3 key payment integrity trends to watch in 2026

As healthcare regulations and utilization patterns evolve for 2026, payers face significant changes that will impact reimbursement strategies and fraud, waste, and abuse (FWA) prevention. Confirmed and proposed federal regulations have introduced permanent telehealth flexibilities, new remote patient monitoring codes, and sweeping updates to skin substitute reimbursement and DMEPOS accreditation. These changes create opportunities for improved care delivery but also new challenges in compliance and FWA management.

Here are three key shifts for payment integrity and compliance teams to monitor as the new year gets underway.