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Episode 135 ·

Algorithmic Pricing, a New Compliance Risk: A Discussion with Bart Daniel, Partner at Nelson Mullins

Send us Fan Mail Emails are evil. In this episode, Captain Integrity Bob Wade explores the new compliance risk of algorithmic pricing with fan-favorite Bart Daniel, Partner at Nelson Mullins. Hear why you should beware of algorithmic pricing, beware of Private Equity (PE), examine the reimbursement rates closely, how to turn your expense department into a revenue department, and why enforcing algorithmic pricing is a top priority. Learn more at CaptainIntegrity.com

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Algorithmic Pricing – A New Compliance Risk: A Discussion with Bart Daniel, Partner at Nelson Mullins

Episode Date: August 21, 2024

In this episode of Stark Integrity, Bart Daniel, Partner at Nelson Mullins, joins Bob Wade (Captain Integrity) to explore an emerging and increasingly important compliance issue:

Algorithmic pricing.

As organizations rely more on data, analytics, and automated tools to make pricing decisions, this episode highlights a key reality:

Technology may change how decisions are made—but it does not change the legal risk.

What Is Algorithmic Pricing?

Algorithmic pricing refers to the use of:

  • Software
  • Data analytics
  • Artificial intelligence or machine learning

To determine or recommend pricing for services or products.

These systems may:

  • Analyze large datasets
  • Identify pricing trends
  • Adjust prices dynamically

While these tools provide efficiency and insight, they also introduce:

New layers of compliance risk.

Why Algorithmic Pricing Matters

A key message from this episode is:

Organizations should be cautious—algorithmic pricing is under increasing scrutiny.

Regulators are focused on how these tools:

  • Influence pricing decisions
  • Interact with market data
  • Potentially reduce competition

Because ultimately:

Delegating pricing decisions to an algorithm does not eliminate responsibility.

The Core Risk: Coordination and Collusion

One of the biggest concerns with algorithmic pricing is the potential for:

Unintentional coordination.

Algorithms can:

  • Use similar datasets
  • Follow similar patterns
  • React to competitors’ pricing in real time

This can result in:

  • Parallel pricing behavior
  • Reduced competition
  • Outcomes that resemble price-fixing

Even without direct communication:

Algorithms can create alignment that regulators may view as anti-competitive.

Regulators have specifically identified risks such as:

  • “Hub-and-spoke” coordination through a common algorithm provider
  • Information sharing through pricing tools
  • Autonomous alignment of pricing through machine learning

The Role of Data Sharing

Another major issue involves:

Access to and use of data.

Algorithmic pricing tools often rely on:

  • Market data
  • Benchmarking information
  • Aggregated pricing inputs

But when that data includes:

  • Competitor-sensitive information
  • Non-public data

The risk increases significantly.

Because:

Sharing pricing information—directly or indirectly—can create liability.

The “Black Box” Problem

A unique challenge with algorithmic pricing is:

Lack of transparency.

Organizations may:

  • Use third-party tools
  • Rely on automated outputs
  • Not fully understand how prices are generated

This creates a “black box” problem:

  • Decisions are made
  • But the underlying logic is unclear

From a compliance standpoint:

You are still responsible for outcomes—even if you do not fully understand the process.

Private Equity and Financial Pressure

The episode also highlights the role of:

Private equity and financial performance pressure.

Increased focus on:

  • Revenue optimization
  • Margin improvement

Can lead organizations to:

  • Adopt aggressive pricing tools
  • Push the limits of automation

This creates a heightened risk environment where:

Technology + financial pressure = compliance exposure.

Reimbursement and Rate Scrutiny

In the healthcare context, algorithmic pricing also intersects with:

  • Reimbursement methodologies
  • Out-of-network pricing
  • Benchmark rate calculations

This creates additional complexity, particularly when:

  • Algorithms influence reimbursement levels
  • Consistent patterns emerge across payors or providers

The takeaway:

Reimbursement rates driven by algorithms may attract regulatory attention.

Enforcement Is Evolving

One of the most important themes in this discussion is:

Enforcement is catching up to technology.

Regulators, including the DOJ, have made clear:

  • Algorithmic pricing can fall under existing antitrust laws
  • Use of a common pricing algorithm may be viewed as coordinated conduct

Recent cases show that:

  • Authorities are actively investigating pricing algorithms
  • Liability can arise even without explicit agreements
  • Traditional legal principles still apply

In short:

“AI is not a defense.”

Practical Compliance Considerations

Organizations using algorithmic pricing should:

  • Understand how pricing tools work
  • Evaluate data inputs and sources
  • Avoid sharing sensitive competitor data
  • Monitor outputs for unusual patterns
  • Document decision-making processes

Because ultimately:

You must be able to explain and defend your pricing decisions.

From Expense to Revenue—but at What Cost?

The episode also raises a practical business question:

Can pricing tools turn expense areas into revenue opportunities?

The answer may be yes—but with an important caveat:

  • Increased revenue strategies must remain compliant
  • Aggressive pricing can create regulatory exposure
  • Short-term gains can lead to long-term risk

The key takeaway:

Efficiency should not come at the expense of compliance.

Key Takeaways

  • Algorithmic pricing is an emerging and growing compliance risk
  • Organizations remain responsible for pricing decisions—even when automated
  • Algorithms can create unintended coordination or collusion risks
  • Data inputs and sharing practices are critical risk factors
  • Lack of transparency (“black box”) increases compliance challenges
  • Regulators are actively focusing on algorithmic pricing practices
  • Traditional antitrust principles apply to modern technology

Final Thoughts

This episode highlights a critical shift in compliance risk:

Technology is changing how decisions are made—but not how they are judged.

Algorithmic pricing offers:

  • Efficiency
  • Scale
  • Insight

But it also introduces:

  • Complexity
  • Opacity
  • Regulatory risk

Organizations must recognize that:

Automation does not eliminate accountability—it amplifies it.

Those that proactively manage these risks will be better positioned to:

  • Leverage technology responsibly
  • Avoid enforcement exposure
  • Maintain trust and integrity

Ultimately:

The future of compliance will depend not just on what decisions are made—but how those decisions are made.

Because in today’s environment:

If your algorithm cannot be explained, it cannot be defended.

Click here to listen to this Stark Integrity Podcast Episode:
https://podcasts.apple.com/us/podcast/algorithmic-pricing-a-new-compliance-risk/id1588939373?i=1000666059127&l=fr-FR