Healthcare Compliance Complexities and Obligation Management

Sonal Mehta
Aavenir
Published in
3 min readJan 17, 2022

The healthcare industry has one of the most extensive and time-consuming contracts and documentation of any industry. This is because healthcare businesses operate in a fragmented ecosystem of third-party payers, providers, vendors, and patients. Hospitals, clinics, and other healthcare facilities handle a variety of crucial legal documents. The process of adhering to all legal, professional, and ethical compliance standards in healthcare is referred to as healthcare compliance.

Read More: AI-based Contract Management — A Strategic Priority for Healthcare Organizations?

Why compliance management is the need of an hour for any healthcare organization?

Regulations are varied and complex. Further, to handle the volume and velocity of care delivery, legacy systems, and manual processes are just insufficient. It could result not only in legal liability, hard value leakage due to inaccurate billing or reimbursement, but also skyrocketing procurement prices, and substandard patient results. For this reason, healthcare management professionals need a thorough understanding of laws, compliance requirements, and legal complexities to help ensure that the facilities they work for operating within the law.

There are many different types of healthcare contracts, for example, healthcare procurement contracts, reseller agreements, employer agreements, clinical research agreements, outcomes-based contracts, other legal agreements. Furthermore, all of them need to meet regulatory requirements and maintain a certain degree of compliance. Obviously, all this creates a difficult and tedious situation to navigate. When mistakes occur, organizations with a culture of healthcare compliance seek to understand the root cause and put measures in place to prevent those mistakes from happening again.

Can contract compliance management solutions help overcome healthcare contracting complexities and meet compliance?

The precise answer to this question is YES. In order to keep up with competition and remain focused on their healthcare quality, accessibility, and affordability outcomes in 2022 and beyond, Life Sciences and Healthcare organizations must address contracting complexities using advanced technology. With AI and digital workflows, the entire healthcare supply chain including healthcare networks, insurance providers, and payers can manage complex contracts with confidence.

To learn more, register for this webinar!

In this webinar, learn how AI and digital workflows can come together to deliver mature, transformational contract and obligation management solutions capable of handling complex industry metadata and processes to drive efficiency and regulatory compliance not only across contract management but also across dependent processes.

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