Sustaining compliance: Best practices for your government programs plan

In this episode of Shaping Healthcare, host Laurel Rockall welcomes Pam Thompson, Vice President of Government Programs and Transformation Practice Lead, and Benjamin Strong, Assistant Vice President, both at Citius Healthcare Consulting. Together, they dive into the intricate world of compliance within government health plans, shedding light on the challenges and best practices that organizations face in this ever-evolving landscape.

Together, they:

• Delve into the key factors for navigating the regulatory landscape, emphasizing the importance of keeping documentation, policies, and training materials up to date, as well as having a dedicated compliance team in place.
• Explain why data privacy and cybersecurity are critical trends, especially with the increasing reliance on data and the risks associated with breaches.
• Discuss the impact of artificial intelligence and integrated care models on compliance, highlighting how these advancements necessitate new regulations and oversight.
• Examine the challenges health plans face, such as the rapid pace of regulatory changes and the need for adequate resources to maintain compliance.
• Highlight best practices for fostering a culture of compliance, including proactive monitoring, robust auditing processes, and a team-based approach to managing compliance responsibilities.
• Consider the role of technology and tools in supporting compliance efforts, from third-party software to root cause analysis methodologies that help organizations address issues effectively.
• Explore how consultants can assist health plans in establishing compliance programs, conducting audits, and implementing corrective action plans when necessary.