Governance, Compliance, & Risk Management
Healthcare cost containment requires more than innovation. It requires structure, oversight, and disciplined compliance.
PriceMDs maintains documented governance standards, HIPAA-aligned controls, ERISA awareness, and formal risk management practices designed to reduce employer risk and ensure responsible plan administration.
HIPAA Compliance
Carefully Protecting PHI
PriceMDs.com is HIPAA compliant. More specifically, our policies and procedures are designed and continuously updated to maintain a secure operational environment across all of PriceMDs’ systems, including safeguards for electronic Protected Health Information (ePHI), role-based access controls, encryption standards, audit logging, workforce HIPAA compliance training, incident response and breach notification protocols, and ongoing risk analysis in alignment with the administrative, physical and technical safeguards required under HIPAA.
- Documented privacy and security policies
- Role-based access controls
- Encrypted data storage and secure transmission protocols
- Formal breach response procedures
- Ongoing internal monitoring and periodic third-party assessments
Policies & Procedures
Our policies and procedures were designed and are continuously updated to maintain a secure operational environment across our entire platform, including:
- Strict access management protocols
- Structured reporting and escalation procedures
- Routine compliance reviews
- Vendor oversight and due diligence standards
- Documented audit trails
All of our team members receive annual training on HIPAA requirements and data security best practices, ensuring consistent protection at every touchpoint.
IT Compliance
Access Control & Identity Management
Enforce least privilege access using Microsoft Entra ID, enable MFA, and conduct regular access reviews.
Data Encryption & Protection (Including Email Encryption)
Encrypt PHI at rest and in transit, including email, using Microsoft Purview with message encryption and data loss prevention (DLP) policies.
Audit Logging & Monitoring
Enable audit logs and continuous monitoring with Microsoft Defender for Cloud and Microsoft 365 logging to detect and respond to threats.
Backup & Disaster Recovery
Implement secure, regular backups of all critical systems and data (Exchange, SharePoint, OneDrive) and ensure the ability to restore quickly in case of data loss or ransomware.
Policies, Risk Analysis & Compliance Management
Maintain HIPAA policies, perform ongoing risk assessments, and track compliance using Microsoft Compliance Manager.
International Partners & Oversight
International Partners
When sourcing medications through SDRx, PriceMDs collaborates with vetted international partners that meet strict operational, compliance, and privacy standards.
- Good Manufacturer Practices (GMP) are universally required of all suppliers
- Validation of all licenses, certifications, and insurance
- Verification of order filling and shipping procedures
- Systematic tracking documentation and advanced monitoring capabilities
- Alignment with U.S. regulatory requirements and clearance by federal agencies
Partners are held to the same privacy and security standards we enforce internally.
“I implemented the PriceMDs cost-containment drug program to address rising prescription costs while maintaining service quality. This program delivered measurable, sustainable savings for many of our clients and their members. A client had two hemophiliac members participating in their health plan, with medication costs over $1,000,000 each. We were able to procure these drugs from PriceMDs and saved over $1,000,000 annually.”
- Senior Benefit Consultant
- HUB International
Accounting & Professional Services
Engagement with established accounting and advisory firms supports financial governance, regulatory alignment, and corporate reporting integrity. Annual audits are conducted to ensure compliance.
Liability
Insurance
Comprehensive coverage includes general liability, professional liability, medical malpractice, and cyber liability protection.
Shareholder
Compliance
Accredited firms support regulated reporting, corporate filing requirements, and organizational compliance.
Commercial
Banking
Long-standing commercial banking partnerships provide secure financial systems, fraud monitoring, and compliant transaction oversight.
Insurance
Broker
Broker relationships ensure properly structured coverage across operational areas, reinforcing risk mitigation practices.
Regulatory
Compliance
We monitor evolving state and federal requirements through ongoing legal review, structured audits, and compliance assessments.
ERISA
We operate with awareness of fiduciary responsibilities under ERISA, supporting employer-sponsored plan structures and compliant benefit administration.
Have Questions?
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