Risk & regulatory solutions for health industries

Strategic advice and solutions to help the healthcare industry anticipate and manage the evolving cyber, risk, and regulatory landscape, build and maintain trust, and thrive in today’s dynamic healthcare ecosystem

The health industry is facing a myriad of challenges

The health industry is facing enormous challenges and fundamental shifts in how it operates. Organizations are transforming how they leverage technology and manage digital capabilities in the wake of the pandemic. At the same time, they’re confronting increased reliance on third-party systems and service providers, cost pressures and an increasingly complex, evolving regulatory environment. And they’re doing all of this with heightened scrutiny from auditors, shareholders and government agencies. This broad array of challenges dramatically increases and complicates the financial, technological, compliance and regulatory risk faced by healthcare companies.

How PwC can help risk management in healthcare

PwC addresses complex problems and business transformations our clients face. The healthcare industry confronts new demands and risks daily, and our global team of more than 4,000 US and 12,000 global professionals are ready to meet the challenge these demands present.

The goal: moving from reactive—or compliance-driven—approaches to more proactive resilient growth strategies.

With cross-functional expertise, cutting-edge analytics and technology enablement solutions, PwC can help in developing healthcare controls, systems and processes, addressing key governance issues and provide guidance on risk oversight.

Our capabilities

Data Protection, Privacy & Cyber Security

Develop data protection, privacy, and cyber security programs, track and operationalize regulations, manage investigations/notifications, coordinate and support privacy programs, serve as specialized subject matter specialist.

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Risk Assessment & ERM

Develop, conduct and execute annual risk assessment and refresh processes, including audit and monitoring work plan activities.

Regulatory Compliance

Support your regulatory compliance program through strategy, training, reporting, auditing and benchmarking through co-source or outsourced models.

Regulatory Change Management

Assess regulatory change management process, real time monitoring of regulations, intake, and support operationalization and implementation.

Internal Audit & SOX

Support for your Internal Audit (IA) and SOX functions through co-source and outsource solutions as well as IA transformation programs.

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Compliance Audit and Monitoring

Support your compliance audit and monitoring program through strategy, training, reporting, auditing and benchmarking through co-source or outsourced models.

Organizational Transformation

Assessment, guidance, and support around your organizational transformation efforts (i.e., ERP changes, digital / upskilling programs, other system implementations).

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Investigations & Forensics

Provide a strategic, risk-based, and pragmatic approach to support internal investigations and regulatory inquiries by supporting internal legal/compliance teams and outside counsel.

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PwC’s Health Sectors

Pharma & Life Sciences

We combine deep risk and regulatory health industry expertise and market leading digital capabilities and accelerators to enable our clients’ goals today and foundation for success in the future, so they can focus on the health of their communities.

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Payer

PwC Health industries practice plays a critical role in helping clients solve an array of emerging and complex problems across the healthcare continuum, including: Care strategy, operations, regulatory, marketing, technology, workforce & change.

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Provider

As forces continue to drive changes in care, we engage with providers and organizations to help react, respond and design for the future or care Services offered include: Internal audit/risk monitoring, compliance, enterprise risk management, data analytics, EHR security, 340b program compliance and technology implementation risk management.

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Higher Education

We are the leading provider of professional services to the higher education sector. We work with distinguished private colleges and universities across the country, and provide the following services: internal audit, compliance, enterprise risk management and business process design.

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Healthcare Risk & Regulatory Management Solutions

Contact us

Tiffany Gallagher

Principal, Health Industries, Cyber, Risk & Regulatory Leader, PwC US

Michelle Horton

Principal, Health Services, Cyber, Risk & Regulatory Sector Leader, PwC US

Tim Canonico

Principal, Pharmaceutical and Life Sciences, Cyber, Risk and Regulatory Leader, PwC US

Eric Caliendo

Partner, Health Industries, Cyber, Risk & Regulatory, PwC US

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