Health Insurance

Health Insurance companies are striving for higher corporate accountability and governance in the face of stricter regulatory requirements and rising stakeholder expectations. Numerous insurance regulatory compliance mandates from national and regional supervisory authorities - like HIPAA, NAIC, PCI-DSS, NIST, FFIEC and SOX - and reforms like the proposed National Health Insurance Exchange is compelling insurance (health insurance) companies to streamline and synergize processes related to policy and procedure management, insurance compliance management, insurance risk management, internal audits, quality of services and operations, issue tracking, corrective action plans and regulatory reporting.

The MetricStream solution for Governance, Risk and Compliance (GRC) plays a key role in enabling health insurers to achieve these objectives through a unified and adaptable system bringing a clear and unambiguous approach to GRC processes through automated workflows and centralized information management. With MetricStream, you can document, track and manage GRC initiatives at all organizational levels for business functions as well as IT processes fulfilling insurance regulatory compliance requirements and implementing effective risk strategy with a reliable control systems and internal auditing activities.

Downloads

• Case Study:
  Blue Cross Blue Shields Affiliates Adopt an Integrated Approach to Intensify Overall Compliance, Risk and Audit Management

Featured

Recorded Webinar:
Best Practices in Implementing a Compliance Program
Expert Speaker: Judith Nelson
VP and Chief Compliance Officer, BCBS Tennessee

Analyst Research

Access a complimentary copy of Gartner Magic Quadrant for Enterprise Governance, Risk & Compliance Platforms, 2011 to get an up-to-date view of the GRC platform landscape.
July 2011 | Read Report

Download a complimentary copy of The Forrester Wave™: Enterprise Governance, Risk, And Compliance Platforms, Q4 2011

November 2011 | Download Report