What to Know

The Company needed a workflow-based solution with robust architectural capacities to reinforce its compliance management in a manner that would integrate several functions being carried out in silos.
After scrutinizing multiple options offered in the market, the Company selected MetricStream’s solution for its diverse compliance requirements. Along with MetricStream’s strong architectural capabilities, ability to support large organizations and flexibility...

With major changes been made to health insurance law in the United Sates, the regulatory demands for health insurers have been constantly increasing, resulting in an extremely intricate web of regulations at various levels - national, regional and state...

with automated alerts, source capturing, trend analysis and dollar value tracking the Company is able to control the fraud and abuse incidents more effectively.
Stronger control on fraudulent activities: Equipped with automated alerts, source capturing, trend analysis and dollar value tracking the Company is able to control the fraud and abuse incidents more effectively...

huge volume of relevant regulations in the application workflow has enabled the Company to track every regulation and related actions proactively. This contrasts with the previous situation at the Company where regulatory tracking was more reactive and...