Compliance & Oversight

Compliance pressure is intensifying around payment integrity and ownership transparency: updated No Surprises Act independent dispute resolution processes are tightening expectations for documentation, timelines, and payment determinations, raising operational risk for provider groups, payers, and VBC entities managing out-of-network leakage and specialist contracting (Forvis Mazars). At the same time, ACP is calling for stronger oversight of private equity and healthcare corporatization, reinforcing scrutiny of ownership models that can affect clinical autonomy, coding intensity, site-of-care strategy, and quality performance in Medicare Advantage, ACO, and other value-based arrangements ([ACP](https://news.google.com/rss/articles/CBMi6gFBVV95cUxOTTFKNDN1TGZQeUJraUVXdWpHRFAzakVFVkE0WGZGdnZUS3NtZnBlWlNWamphN3haVlRZQ3czbVlCQjFUYjFOSVpFUFFoVFpXay1yUUx5SlRza1M2bTZyUzZwSzFOZmpSc283bHc0WGZqb04xd0lTTnlvYVRBcXowS21jUURNMnV3V1R2ZTFjNnN2VnJuNlNTTlFpTEN