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Riding the waves of change: Navigating the new regulatory landscape

The landscape of health insurance is always evolving, shaped by new regulations and policies that aim to balance consumer protection, industry innovation, and cost control. Staying informed and compliant with these changes is imperative for payers.

In this session, we will delve into the most significant regulatory shifts, explore their implications for our industry, and discuss strategies for navigating these changes effectively. We'll cover recent legislative updates, compliance requirements, and best practices to enable plans to not only meet regulatory standards, but also enhance the quality and affordability of care for their members.

Watch this session from the Cotiviti Client Conference 2025 (CCC25) and learn about:

  • The current regulatory environment 
  • State-level/Medicaid changes and implications for health plans
  • Federal changes from CMS/HHS and their implications for health plans
  • Pharmacy strategies
  • New rules and regulations regarding the usage of AI

Presenters

Krista Baisch
Vice President, Associate General Counsel
Cotiviti

Jay Delarosa
Vice President, Payment Integrity
Cotiviti

Adair Galster
Senior Vice President, Client Engagement
Cotiviti

Michael Jablon
Vice President, Product
Cotiviti

Dr. John Smith
Client Medical Director
Cotiviti