The OIG’s 2025 Top Management Challenges report reveals how healthcare compliance programs will be evaluated next—and why proactive, documented oversight is no longer optional.
The HHS Office of Inspector General’s 2025 Top Management Challenges report is more than a policy update; it’s a signal of how healthcare compliance programs will be scrutinized in the year ahead.
Across financial integrity, Medicare Advantage and Medicaid oversight, beneficiary safety, public health, and cybersecurity, the OIG emphasizes a clear shift: regulators are no longer focused solely on whether issues are addressed, but on how consistently and defensibly compliance programs identify, track, escalate, and resolve risk.
This eBrief breaks down:
- Why improper payments remain a primary entry point for enforcement
- How data integrity has become a baseline expectation for MA and Medicaid compliance
- Where compliance and quality oversight are increasingly intertwined
- Why cybersecurity governance now extends well beyond IT