February 06, 2014 | Palo Alto: MetricStream, a market leader in enterprise-wide Governance, Risk and Compliance (GRC) solutions will showcase its cutting edge Managed Care Compliance, Medicaid Recovery Audit, Corporate Compliance and Audit Management solutions at the Managed Care Compliance Conference organized by the Health Care Compliance Association (HCCA) from February 9-11, 2014 in Scottsdale, AZ. Distinguished professionals from the health insurance industry will convene to share their ideas on the latest trends, best practices and solutions required to overcome the challenges facing the healthcare industry today.

Escalating medical costs, economic downturns, and changes ushered in by the health care reform has led to the rapid and vast transformation across the U.S. healthcare sector. As a result, numerous challenges and opportunities have been created for the health insurance industry, requiring them to re-think and re-define how they engage in business. Increasingly, health plans validate the return on investment, report a measure of difficult-to-quantify savings, and present the outcome of health intervention programs.

MetricStream solutions enable healthcare providers to create, compile and review claims in an effective and efficient manner, in collaboration with multiple stakeholders. Centralized dashboards present a high degree of visibility into the associated processes, enabling managers to quickly track the audit status at every stage, gaining a 360-degree view of the appeals. The solution also features robust functionality to help automate, streamline and integrate the preparation of Medicare audits, while promoting a more proactive approach to the entire process.

The three-day conference will highlight some of the major setbacks and risks posed to health plans through the integration of physical and behavioral information. The sessions will also focus on the managed care drug program, including the 340B Drug Pricing Program and the Medicaid Rebate Program, and examine compliance program obligations in the exchange world.

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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