Sign up to save your podcasts
Or
Share The CY2027 Through Line Series: Compliance is now a Competitive Advantage
Share to email
Share to Facebook
Share to X
Share to email
Share to Facebook
Share to X
Or
The CY2027 Through Line Series: Compliance is now a Competitive Advantage
Welcome back to the Healthcare STARcast! In this episode, we dive deep into the ever-evolving landscape of Medicare Advantage compliance and population health management. Host Subbu Ramalingam sits down with industry expert Regan Pennypacker, Senior Vice President of Compliance at ATTAC Consulting Group, to unpack the heightened regulatory environment, the impact of new and upcoming compliance rules, and the practical strategies that drive organizational performance and member outcomes.
Together, Regan and Subbu discuss key friction points between compliance and operational teams, best practices for breaking down organizational silos, and the increasing importance of innovation, even in compliance. You’ll hear firsthand about the unique challenges and opportunities presented by special needs plans, the expansion of AI in healthcare, and how forward-thinking leaders can proactively prepare for future CMS rules without waiting for final confirmations.
Whether you’re a compliance leader, a plan operations executive, or simply curious about the interplay between regulation and real-world care delivery, this conversation offers actionable insights and inspiration for navigating today’s complex healthcare landscape.
Timestamps:
00:00 Improving compliance training strategies
06:01 Evolving role of compliance
07:55 Starting in Medicare compliance
12:50 Industry collaboration and CMS feedback
16:34 Monitoring clinical decision making
17:23 Updating prior authorization guidelines
22:19 Navigating compliance and risk adjustment
25:28 Risk adjustment and compliance roles
30:08 Effective compliance training tips
32:40 Reviewing public comments to CMS
35:14 CMS and wellness guidance trends
38:10 Adapting to CMS guidelines
44:14 Addressing transportation barriers
47:35 Helping organizations with compliance challenges
50:13 Supporting FDRs and ACO compliance
52:48 Leadership style and innovation
55:32 AI governance and ethical adoption
Show Website - https://healthcarestarcast.com/
Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/
FloWise Leadership - https://flowiseleadership.com/
ViVega Business Services - https://www.vivega.co/
ATTAC Consulting Group - https://www.attacconsulting.com/
Media Partner - TopHealth - https://tophealth.care/
“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”
View all episodes
By TopHealth MediaWelcome back to the Healthcare STARcast! In this episode, we dive deep into the ever-evolving landscape of Medicare Advantage compliance and population health management. Host Subbu Ramalingam sits down with industry expert Regan Pennypacker, Senior Vice President of Compliance at ATTAC Consulting Group, to unpack the heightened regulatory environment, the impact of new and upcoming compliance rules, and the practical strategies that drive organizational performance and member outcomes.
Together, Regan and Subbu discuss key friction points between compliance and operational teams, best practices for breaking down organizational silos, and the increasing importance of innovation, even in compliance. You’ll hear firsthand about the unique challenges and opportunities presented by special needs plans, the expansion of AI in healthcare, and how forward-thinking leaders can proactively prepare for future CMS rules without waiting for final confirmations.
Whether you’re a compliance leader, a plan operations executive, or simply curious about the interplay between regulation and real-world care delivery, this conversation offers actionable insights and inspiration for navigating today’s complex healthcare landscape.
Timestamps:
00:00 Improving compliance training strategies
06:01 Evolving role of compliance
07:55 Starting in Medicare compliance
12:50 Industry collaboration and CMS feedback
16:34 Monitoring clinical decision making
17:23 Updating prior authorization guidelines
22:19 Navigating compliance and risk adjustment
25:28 Risk adjustment and compliance roles
30:08 Effective compliance training tips
32:40 Reviewing public comments to CMS
35:14 CMS and wellness guidance trends
38:10 Adapting to CMS guidelines
44:14 Addressing transportation barriers
47:35 Helping organizations with compliance challenges
50:13 Supporting FDRs and ACO compliance
52:48 Leadership style and innovation
55:32 AI governance and ethical adoption
Show Website - https://healthcarestarcast.com/
Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/
FloWise Leadership - https://flowiseleadership.com/
ViVega Business Services - https://www.vivega.co/
ATTAC Consulting Group - https://www.attacconsulting.com/
Media Partner - TopHealth - https://tophealth.care/
“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”