PolicyWatch tracks Medicaid, Medicare Advantage, Marketplace,and Commercial updates — so you don’t have to.
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Built for teams navigating complex payer policies, compliance challenges, and shifting reimbursement.
Stay ahead of the updates that can quietly reduce revenue, delay claims, or disrupt workflows.
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You didn’t go into medicine to chase down policy updates. Payer rules change fast — and the smallest revision can impact your ability to get paid. Whether you're a solo provider or part of a large group, PolicyWatch helps you stay compliant without burning time in payer portals.
When a payer changes policy, your teams need to know — fast. Hospitals are complex billing environments, and a single missed update can affect thousands of claims across departments. PolicyWatch delivers payer intelligence directly to your revenue cycle leaders, helping prevent denials, avoid rework, and protect reimbursement.
Your job is hard enough — Don’t let policy surveillance bog your team down. From modifiers to edits to new documentation rules, PolicyWatch keeps your team in sync with every payer update — across all products you support.
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Track, summarize, and customize payer policy updates—so you stay informed, compliant, and ahead of costly surprises.
We track policy updates so you don’t have to.
You’re already buried in work. Checking payer websites daily isn’t sustainable — but missing an update can cost you.
PolicyWatch monitors payer sites across Medicaid, Medicare Advantage, Marketplace (ACA), and Commercial lines of business.
What we monitor:
Turn dense policy documents into plain-English alerts.
Our team (and smart automation) reviews and condenses each update so you don’t have to sort through legal terms or PDFs for hours.
What you get:
You decide what you want to follow.
Most provider organizations don’t need every update — just the ones that affect your practice and services.
What you control:
Be proactive. Not reactive.
"We used PolicyWatch to get ahead of a Medicare rate cut — and renegotiated before it ever hit our checks."
Using the CMS documentation and code-level analysis provided in the alert, the group reached out to their payer reps at Aetna, Cigna, and Humana.
By presenting the upcoming changes and how they would affect their reimbursement, they were able to negotiate modest increases — 2% to 3% respectively — and stay ahead of the curve.
“This was the first time we had the data before the payers did. PolicyWatch gave us the leverage to have the conversation — and it worked.”
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Need more than 10 logins or nationwide coverage? We can customize your plan.
Request a custom quote — we'll follow up within 1 business day.
Get answers to common questions about plans, updates, and how PolicyWatch works.
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Manual checking creates hours of wasted time, and you'll STILL MISS changes. Payers don't announce updates, they bury them. PolicyWatch automates the entire process so you never fall behind, and your team can focus on protecting revenue instead of chasing PDFs.
Revenue cycle doesn’t take months off — and neither do payers. Policy changes happen year-round, and missing even one update can cost thousands in denials. Annual-only means continuous protection, budget certainty, and no gaps in coverage.
Yes. Every improvement we launch is included in your subscription at no extra cost. PolicyWatch keeps getting smarter, and you benefit instantly — no new contracts, no hidden fees.
Each digest includes: - Summary of changes - Type of update (e.g., reimbursement, clinical, administrative) - Link to the original source (PDF or webpage) - Effective dates or version changes, if available
Absolutely! You tell us which Payers you want us to track. Change payers at any time.
Yes! A Dashboard will house your updates so you can easily review and identify policy changes that are "Material updates"
You can always upgrade so you are protected by the Pro tier daily updates!
We track Medicaid, Medicare Advantage, Marketplace, and Commercial products across major payers. You choose the ones that impact your organization, so you only see what matters.
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