February 22, 2013 | Palo Alto, California: MetricStream, the market leader in enterprise-wide Governance, Risk and Compliance (GRC) solutions, announced today its upcoming presence and participation during the Health Care Compliance Association's (HCCA's) Managed Care Compliance Conference which will be held from February 24-26, 2013 in Phoenix, Arizona.

The HCCA conference focuses on the role of effective compliance programs in a rapidly evolving healthcare insurance industry. The conference will convene industry experts who will cover an array of important topics including:

  • Conducting internal investigations
  • Overseeing delegated entities and FDRs
  • Compliance with CMS Medicare and marketing requirements for plans and providers
  • Health plan compliance with the final HIPAA rules
  • Medicare star ratings: the current landscape and the road ahead

Healthcare and insurance organizations today depend on the latest technology, bringing about the need for more stringent security measures around patient privacy, data use and misuse, and fraud. To combat the growing number of privacy and security threats, the number of healthcare regulations have grown exponentially over the years, including the regulatory bodies such as Health Insurance Portability and Accountability Act (HIPAA), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and Centers for Medicare and Medicaid Services (CMS).

With the election and re-election of the Obama administration, there have been many thoughtful attempts to apply the law on important issues such as healthcare fraud through targeted investigations. In spite of this, Medicare loses approximately $60 billion in fraud and improper payments every year. To ensure protection of patient privacy and company funds, and to keep pace with the industry, regulations must be frequently updated, forcing healthcare and insurance organizations alike to turn to technological solutions that are flexible and comprehensive in tracking and streamlining processes for more efficient outcomes.

During the course of this two-day conference, MetricStream will showcase its industry-leading compliance, risk, and audit solutions that address the needs of leading healthcare and insurance organizations by managing their various programs including information security, claims audit, regulatory examinations, fraud and abuse, and accreditation on a single platform. MetricStream's unique approach helps organizations avoid duplicative processes and documentation and enables greater visibility and transparency across the entire organization.

About MetricStream

MetricStream is the independent market leader in enterprise cloud applications for governance, risk, compliance (GRC), and quality management. MetricStream apps and software solutions improve business performance by strengthening risk management, corporate governance, regulatory compliance, audit management, vendor governance, and quality management for organizations across industries, including banking and financial services, health care, life sciences, energy and utilities, consumer brands, government, technology, and manufacturing. MetricStream is headquartered in Palo Alto, California, with an operations and GRC innovation center in Bengaluru, India, and sales and operations support in 12 other cities globally.(www.metricstream.com).

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