Risk and regulatory consulting
Helping you achieve your strategic goals in an environment of evolving risks and constant regulatory change.
Navigate risk and regulatory complexity
Transform risk and complexity to your advantage
In the new Health Economy, the most successful players will capture value by both uncovering strengths and developing new capabilities. More sources of risk and complexity are emerging, ranging from new technologies, cyber threats and regulatory requirements to changes in accounting and tax rules. A seemingly simple regulatory change can have significant ripple effects across many areas of a company’s business.
As executives develop new strategies, products and services – and implement structural changes – the holistic management of risk and regulatory complexity is increasingly key to success.
Health industry entities face this increasing complexity on a daily basis, as market-driven innovation rapidly outpaces the regulatory framework in an environment rife with government enforcement actions. Health Services organizations in particular must satisfy multiple strategic, customer and regulatory priorities, including the rapid evolution to patient-focused, value-based care, all while navigating a complicated, dynamic risk and regulatory environment. The ability to move quickly and confidently in the midst of the resulting uncertainties is critical to both creating value through achieving strategic goals and protecting that value from the consequences of regulatory non-compliance.
How PwC can help
PwC Health Industry professionals offer depth and breadth in risk and regulatory services for payers and providers. Here are some of the ways we can help:
- Strategic risk
- Medicaid fraud, waste and abuse
- Pharmacy, compliance and operations
- Enterprise risk management
- Financial crimes and anti-money laundering
- Regulatory-driven change
- Financial and treasury management
- Model risk management
- Healthcare and regulatory compliance
- Controls testing & monitoring
- CMS rating risk
- 340B provider risk
- Third party risk management
- Research and higher education compliance risks
- Service organization controls (SOC) reporting
- Revenue risk
- Internal audit
- Clinical risks
- Business continuity
- GAAP changes
- Media and advertising risks
- IT project risks
- EHR system risks
- Cybersecurity and privacy risk
- Cybersecurity assurance – readiness assessments and attestation reporting
- Business application risk, controls and compliance solutions
- System implementation assurance
- Business application security and GRC strategy and implementation
- GRC technology
- Global investment opportunity
Insights
Navigating disruption: 2017 State of Internal Audit Profession Study Webcast
Sign up now to listen live on March 30 as we share the results and our perspectives from the 2017 State of the Internal Audit Profession Survey.
Top health industry issues of 2017
A new administration. A new year. Ten new top issues. PwC’s Health Research Institute names the trends that will shape the industry in the year to come.
State of Compliance 2016 key findings
Our industry highlights focus on how compliance functions, or those with compliance responsibility in organizations, manage the "business strategy" elements of a compliance program: oversight and responsibility, tone at the top and risk assessment.
Leveraging technology to manage risks in health care
Learn how PwC is helping healthcare organizations understand their electronic health record (EHR) risk universe and promote strong control configurations.
