By Elena Pak, Credentialing Department, WCH
The year 2025 has marked an unprecedented wave of regulatory enforcement against health insurance payers across the United States. An analysis of state-imposed penalties reveals not merely increased oversight intensity, but systemic operational failures that, if left unaddressed, threaten to fundamentally reshape the economics and operational models of the health insurance sector. For executives managing payer organizations, understanding the anatomy of these violations has evolved from a compliance consideration to a matter of strategic survival.
Three Dominant Categories of Violations
Discover more from Doctor Trusted
Subscribe to get the latest posts sent to your email.
