Program-specific change
Medicare Advantage, Part D, Medicaid managed care and commercial products may follow different requirements and calendars.
RegWatch for Health Plans & Managed Care
Stay ahead of health plan and managed care regulatory change.
Monitor the Medicare Advantage, Medicaid managed care, prior authorization, interoperability, network adequacy, claims, privacy, cybersecurity and state insurance requirements your organization selects. RegWatch gives payer teams a consistent way to review change.
No credit card required for the free monitoring account.
Regulatory change command center
Medicare AdvantageMedicaid Managed CarePrior AuthorizationInteroperabilityNetwork AdequacyClaimsPrivacyCybersecurity
Why RegWatch
Payer requirements change across programs, products and jurisdictions.
Health plans may follow CMS rulemaking, manuals and guidance, state insurance requirements, Medicaid contracts and technical standards. RegWatch organizes selected sources around your operating model.
Federal and state overlap
CMS materials, state insurance rules, Medicaid agency requirements and contracts can create layered review needs.
Operational dependencies
Prior authorization, claims, networks and appeals changes can affect policy, technology, provider and member operations.
Technical implementation
Interoperability, data exchange, privacy and cybersecurity updates often require coordinated compliance and IT review.
Monitoring Coverage
Build a watchlist around how your organization actually operates.
Select the programs, jurisdictions and operational topics that matter to your plan products and members.
Medicare Advantage and Part D
Selected CMS rules, manuals, guidance, notices and contract-year materials for Medicare plan operations.
Medicaid managed care
Selected federal and state Medicaid managed care requirements, access, quality, reporting and contract materials.
Prior authorization and appeals
Requirements involving authorization workflows, decisions, notices, grievances, appeals and related reporting.
Interoperability and data access
Selected CMS interoperability, API, patient access, provider access and data-exchange materials.
Networks and claims
Network adequacy, provider directories, claims, payment, encounter data and program-integrity sources.
Privacy and cybersecurity
HIPAA, breach, state privacy, cybersecurity and vendor oversight sources selected for payer operations.
Monitor availability and applicability vary by source, jurisdiction and organization. Your team chooses the watchlist it wants RegWatch to follow.
How RegWatch Works
Move from “something changed” to a focused review process.
Select your monitors, receive organized change intelligence and optionally connect policies for assessment.
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1
Select your monitors
Choose the agencies, regulations, standards, licensing sources and jurisdictions relevant to your operations.
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2
Review focused change summaries
See what changed, important dates, affected requirements, source links and suggested review areas.
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3
Connect policies when useful
Upload and assign utilization management, claims, network, privacy, security or member-service policies or procedures to the monitors they support.
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4
Assess gaps and document action
Review potential policy gaps, ownership, next steps, review activity and supporting evidence in a consistent workflow.
Illustrative workflow
New Update
A change is detected. Your team sees the context.
1
Monitor
Selected source
Actively monitoring
RegWatch follows the rule, bulletin, manual, guidance or licensing source your team selects.
2
Detect
Change identified
Change Alert Detected
Health Plan & Managed Care Update
New
+
Requirement updated
Source captured and compared with the previous version.
The update is captured, summarized and organized so reviewers can focus on what changed.
3
Review
Context delivered
RegWatch Review
Ready for your team
Ready
SummaryWhat changed
Key datesWhen it matters
PoliciesWhat to review
Next stepsWho owns action
Assigned to compliance, IT and legal reviewers
Your team receives a focused review package instead of another unstructured alert.
Built for Health Plans & Managed Care
One monitoring approach across products and markets.
RegWatch can support plans with different lines of business, service areas, provider networks and state obligations without requiring one undifferentiated watchlist.
Create your free monitoring accountMedicare Advantage organizationsMedicaid managed care plansCommercial health insurersIntegrated health plansThird-party administratorsMulti-state payer organizations
What Your Team Gains
A more manageable way to stay aware, assess impact and document follow-through.
Less manual monitoring
Reduce repeated searches across individual regulator, program and jurisdiction websites.
More focused reviews
Give owners the source, dates, affected topics and review context in one place.
Better policy alignment
Connect selected requirements with the policies and procedures your team relies on.
A clearer audit trail
Keep updates, assessments, review activity and supporting evidence organized.
Frequently Asked Questions
Managed care monitoring with clearer ownership and context.
Start with regulatory monitoring, then add optional policy assessment workflows when your team is ready.
Talk to AllgressWhich health plan requirements can RegWatch monitor?
Organizations can select relevant Medicare Advantage, Part D, Medicaid managed care, prior authorization, interoperability, network adequacy, claims, privacy, cybersecurity and state insurance sources. Available coverage depends on selected monitors and sources.
Can product teams maintain separate watchlists?
Yes. Watchlists can be organized by line of business, state, service area, operational function or other structure your organization chooses.
Can we use RegWatch without uploading plan policies?
Yes. Policy uploads are optional. Monitoring and organized change summaries can be used independently.
How can RegWatch support policy review?
You can assign utilization management, claims, network, privacy, security or member-service documents to selected monitors. RegWatch can identify areas that may require review when monitored sources change.
Does RegWatch determine plan compliance or applicability?
No. Your organization determines which requirements apply and how to respond. RegWatch provides regulatory intelligence and workflow support, not legal advice.
Start with the sources that matter to you
Make payer regulatory monitoring easier to manage.
Get a free RegWatch account and begin building the monitoring watchlist your health plans & managed care team needs.