Financial Arrangements in Life Science & Payor Organizations
Are Your Payments Consistent With Fair Market Value?
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November 11, 2025
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Increased regulatory scrutiny and recent enforcement action has prompted Life Sciences and Payor organizations to pay careful attention to and re-evaluate their financial arrangements. To effectively manage and mitigate their compliance risk, companies must identify arrangements, beyond those directly with physicians, to determine the potential for regulatory risk.
Marketing Programs, Technology Solutions, and Lab Services Agreements are just a few examples of arrangements that have been subject to recent investigations and regulatory action. Understanding where the compliance risk lies and managing it effectively can help avoid unnecessary disruptions in operations, time-consuming legal inquiries and costly settlements.
Types of Arrangements Subject to Review
- Consulting and Service-Based Agreements
- Technology-Based Solutions
- Management and Other Financial Agreements
Why FTI Consulting
FTI Consulting’s roster of Healthcare, Life Science and Payor compliance experts, accompanied with our extensive experience in developing fair market value and commercial reasonableness assessments, can assist health organizations with navigating the changing regulatory environment and managing risk for the organization.
Example Arrangements
Consulting and Service-Based Agreements
- Lab Services Agreements
- Consulting Arrangements/Key Opinion Leader
- Specimen Preparation Services
- Program Development and Marketing
- Brokerage, Education and Lead Generation
- Billing and Collection Services
Technology-Based Solutions
- EHR, Practice Management, and Revenue Cycle
- Integration Engines/Data Exchanges
- EDI Transactions
- Mobile App Directories
- Technology-Enabled Marketing
- Data Collection and Commercialization
Management and Other Financial Arrangements
- Comprehensive Management Services Agreements (“MSAs”)
- Time-share and Leasing Agreements
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Published
November 11, 2025
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