The health insurance landscape is constantly shifting—driven by new regulations, guidelines, and policies that aim to balance consumer protection, innovation, and rising costs. These changes can significantly influence how payers operate, from reimbursement models to compliance requirements, and even the technologies they adopt to maintain efficiency.
For payers navigating such a complex environment, understanding the payment integrity implications of upcoming rules is not just important—it’s essential to avoid costly missteps and ensure continued alignment with industry standards. Staying ahead of these changes is critical to maintaining both financial stability and trust with providers and members.
Join Cotiviti’s legal and FWA experts on Thursday, December 18 at 1 pm ET for the final installment of our 2025 Payment Integrity Pulse webinar series as we explore:
- The 2026 Physician Fee Schedule proposals affecting telehealth: Learn how CMS updates could reshape virtual care billing and impact payer strategies.
- CMS proposals for skin substitute reimbursement and DMEPOS accreditation: Understand the potential financial and compliance implications of prior auth exemption, stricter accreditation requirements, and increased monitoring.
- Trending FWA schemes and potential challenges ahead: Gain insight into potential fraud, waste, and abuse patterns that may arise in 2026 as a result of these rule changes.
Don’t miss this opportunity to stay informed as we head into 2026. If you can’t attend the live webinar, be sure to register so we can send you the on-demand recording. We look forward to seeing you there.
