“Network adequacy regulations” expand patients’ access to hospitals by mandating a lower bound on the number of hospitals that health insurers must include in their networks. Such regulations, however, compromise insurers’ bargaining position with hospitals, which may increase hospital reimbursement rates, and may consequently be passed through to consumers in the form of higher premiums. In th...

Compliance standards are necessary to ensure that enterprises adhere to important laws and regulations concerning their business. To overcome the diversity of laws and regulations, software companies have promised to support the enterprises by appropriate software solutions. Consequently, new compliance management systems have been brought to the market and existing business applications have b...