Healthcare compliance technology has reached new heights: From AI to blockchain and cloud-based platforms, healthcare organizations have never had more powerful options for operational support.
Technology is reshaping compliance in healthcare. With increased regulatory pressure, the ongoing digital evolution of the healthcare sector, and growing patient tech savvy, organizations face ample industry demand for digital integration.
In this guide, we’re breaking down just a few examples of healthcare regulatory compliance technology—tools that today’s industry powerhouses are already leveraging to modernize compliance efforts, mitigate risks, and make data-driven decisions.
Technology’s Role in Modern Healthcare Compliance
Technology for healthcare compliance isn’t new—but, since 2024, “RegTech” has become a must-have in every organization’s arsenal. Why?
In 2025, expanding tech integration has played a role in increasing healthcare non-compliance consequences. The US Department of Health and Human Services (HHS), its Office of Inspector General (OIG), and the Centers for Medicare and Medicaid Services (CMS) have all implemented additional, robust regulatory demands this year alone.
In the face of expanding compliance demands, RegTech helps both direct healthcare providers (e.g., health systems, insurers, and pharmacies) and third-party regulatory partners (e.g., compliance consultants):
- Reduce risk – Compliance violations pose more than financial risks to healthcare organizations—they can damage reputations, alter eligibility for federal programs and contracts, and more. With high-tech tools, companies can mitigate all of these risks and support ongoing compliance.
- Improve oversight – Gone are the days of siloed data and disparate departments. Interoperability and cross-departmental communications (facilitated by RegTech) improve company-wide transparency during regular operations and audit periods.
- Ensure accountability – Transparency and accountability are two sides of the same coin. With enhanced oversight and information accessibility, stakeholders can take a more active role in organization-wide compliance efforts and hold colleagues accountable.
Top 5 Technology Trends Driving Healthcare Compliance
Let’s explore five of the latest and greatest tools organizations are using to meet healthcare regulations and streamline compliance efforts.
Artificial Intelligence and Automation
The use of AI in healthcare compliance is on the rise. Some of the most popular applicants include:
- Automated auditing – More frequent, robust, and high-fidelity internal audits can help companies assess regulatory shortcomings and prepare for higher-stakes audits by oversight organizations. While in-house audits used to be time-consuming and labor-intensive, AI has improved both auditing methods and analyses, helping organizations make tangible, informed improvements.
- Risk detection – In a similar vein, AI monitoring can help healthcare brands identify risks—from billing errors to missed filing deadlines.
- Predictive compliance monitoring – While automated auditing and risk detection are powerful applications, AI can do more than automate. AI platforms with predictive capabilities can forecast potential compliance issues before they arise—the ticket to proactive regulatory operations.
Advanced Data Analytics
Whether they use their own data or partner with big data partners, healthcare organizations have access to more data than ever before—a supply of raw information that’s only growing with time.
With so much data, organizations must make a concerted effort to use this resource in a productive manner. Real-time dashboards are just one example of advanced data analytics: These platforms help healthcare stakeholders track specific metrics, chart trends over time, and make data-driven decisions.
In combination, big data and AI-driven predictive insights have the potential to transform compliance efforts in healthcare; big data provides the information stream while AI identifies ongoing themes. This powerhouse duo offers an in-depth, insightful compliance assessment.
Cloud-Based Compliance Solutions
Much of the digital evolution of healthcare is patient-facing: from telehealth to patient portals and pharmacy apps. Electronic health records (EHR) lie at the heart of these patient resources.
For healthcare organizations, EHRs must be accessible across facilities and time zones. Cloud-based platforms are scalable and flexible, offering a means to both manage and monitor patient information.
For compliance functions specifically, cloud-based tools improve:
- Collaboration – With real-time access to information, compliance teams across facilities can work together to complete regulatory functions, identify risks, and implement compliance-focused changes system-wide.
- Accessibility – The power of data access can’t be overstated; accessibility forms the foundation for teamwork, transparency, and accountability.
- Secure data storage – Cybersecurity in cloud-based platforms is only improving with time. Today’s high-tech tools offer an ideal balance of access and security—baked-in features that support compliance efforts.
Blockchain for Credentialing and Transparency
Healthcare background screening is just one facet of healthcare compliance, but it’s one of the most critical for direct care organizations. During the credentialing process, blockchain technologies provide a highly transparent breadcrumb trail that prevents record tampering.
Simply put, blockchain systems record actions (like records changes) in multiple locations—not just one device. This means actions are always visible. Provider sanctions, for instance, can’t be easily (or invisibly) wiped from the record.
Ultimately, blockchain offers unmatched fraud prevention and enhances accurate credentialing—two key compliance metrics at the top of mind for healthcare organizations.
Cybersecurity Innovations
In the early days of AI and blockchain (among other next-generation technologies), stakeholders were concerned about healthcare compliance issues—and for good reason. In the age of cyber threats, HIPAA compliance is paramount.
However, today’s cybersecurity innovations have made all of the above tools significantly more secure. Cutting-edge tools employ approaches like:
- Encryption – Encryption processes use cryptography and other mathematical techniques to secure digital data and limit access by unauthorized parties.
- Multi-factor authentication (MFA) – MFA requires multiple distinct proofs of identity in order to access a digital platform. It provides an extra layer of protection beyond simple passwords or biometrics.
- Continuous monitoring – With AI and automation tools, cybersecurity systems can continuously monitor digital systems and databases for threats, unauthorized access, and suspicious records changes. While human expertise is still a key component of cybersecurity, digital tools are only making continuous monitoring more feasible.
Challenges in Implementing Compliance Technology
While all of the above tools and approaches have the potential to transform compliance operations, implementation can be challenging in a number of ways:
- Integration with legacy systems – If a company already has a long-standing healthcare license verification system (for example), implementing new changes may temporarily disrupt operations—even if new technologies will improve the process over time.
- Costs and resource allocation – As regulatory demands increase, so will the costs of compliance. Organizations must carefully balance tech investments with staffing costs to both meet regulatory needs and protect the bottom line.
- Staff training – Investment in a new tech tool doesn’t start and end with paying for a license—staff training costs money, too. While budgeting for tech integration, organizations must account for professional development and ongoing training costs.
Best Practices for Adopting Compliance Technology
With the above challenges in mind, how can today’s healthcare companies adopt new compliance technologies as seamlessly as possible?
- Start with scalable solutions – Instead of overhauling the entire compliance process overnight, start small. Implement one solution at a time, expand its functionality slowly, and assess operations before incorporating a new digital tool.
- Invest in training and change management – While staff training can be costly, it’s a worthwhile investment. Automation tools and AI assistants can only manage some elements of your tech suite; when humans remain in the loop, they need exceptional preparation to make the most of new tools.
- Build cross-department collaboration – When new provider compliance solutions go online, all stakeholders need to be on board: regulatory experts (i.e., the people using the software), IT pros, and leadership. When multiple departments collaborate, individual teams can learn to use platforms to their fullest potential.
Preparing for the Future of Compliance
AI and automation, advanced data analytics, cloud-based systems, blockchain applications, and enhanced cybersecurity—all of these are already disrupting healthcare compliance as we know it. Healthcare organizations looking to stay ahead of ever-evolving regulations simply can’t excel in this landscape without embracing compliance-forward technologies.
Direct providers and compliance consultants seeking high-fidelity, real-time data turn to Verisys. We’re a compliance, credentialing, and risk mitigation data provider offering advanced tools for regulatory operations and more. Verisys transforms healthcare compliance programs with better data, better decisions, and better outcomes.
Reach out to our compliance team to learn more.
Sources:
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US Centers for Medicare and Medicaid Services. 2025 Marketplace Integrity and Affordability Final Rule. https://www.cms.gov/newsroom/fact-sheets/2025-marketplace-integrity-and-affordability-final-rule
American Psychological Association. Understanding the Now-Reversed Reproductive Health Privacy Amendments. https://www.apaservices.org/practice/business/hipaa/july-2025-court-decision-reproductive-health-privacy-rule
US Department of Health and Human Services. Regulatory Initiatives. https://www.hhs.gov/hipaa/for-professionals/regulatory-initiatives/index.html
US Department of Health and Human Services Office of Inspector General. Strategic Plan. https://oig.hhs.gov/about-oig/strategic-plan/
Forbes. Compliance Frameworks as the Key to Safe AI in Healthcare. https://www.forbes.com/sites/garydrenik/2025/09/18/compliance-frameworks-as-the-key-to-safe-ai-in-healthcare/
American Public University. What Is Big Data?. https://www.apu.apus.edu/area-of-study/business-and-management/resources/what-is-big-data/
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Investopedia. What Is Encryption? How It Works, Types, and Benefits. https://www.investopedia.com/terms/e/encryption.asp
IBM. What Is MFA (Multifactor Authentication)?. https://www.ibm.com/think/topics/multi-factor-authentication
