Risk management and compliance for health plans
With the ever-growing body of regulatory mandates in healthcare today, compliance is as central to business success as the ability to manage claims and enrollment files. Noncompliance with any regulation needlessly exposes health plans to the risk of brand damage and diverts scarce resources to address violations.
Risk management and compliance solutions based on Microsoft technology can help your organization reduce regulatory compliance risk and complexity. You can improve information protection and help provide the internal controls needed to meet HIPAA requirements, Sarbanes-Oxley provisions, and state-specific regulations.
Case study: Group Health Cooperative takes preventative security measures
Group Health Cooperative had never experienced security breaches, but didn’t want to run the risk of computer viruses hindering patient care. To improve its security, Group Health upgraded to Windows XP Professional with Service Pack 2. The organization expects the upgrade to improve system administration, reduce the number of help-desk calls, help protect users both on and off the network, and enhance employee productivity.
Risk management and compliance solutions from Microsoft partners
These featured Microsoft partners offer risk management and compliance solutions built on the Microsoft platform:
| • | Avanade, Inc. (Microsoft Gold Certified Partner)
Avanade™ is the leading technology integrator with specialization in the Microsoft enterprise platform. Avanade people help customers around the world maximize technology investments and create comprehensive solutions that drive business results. Avanade's services and solutions span all Microsoft enterprise technologies to deliver improvements in infrastructure and applications. |
| • | TCS
Tata Consultancy Services Limited (TCS) is the world-leading information technology consulting, services, and business process outsourcing organization. TCS envisioned and pioneered the adoption of flexible global business practices that today enable companies to operate more efficiently and produce more value. Six of the Fortune Top 10 companies are among TCS valued customers. And TCS is part of one of Asia's largest conglomerates, the TATA Group. With its interests in energy, telecommunications, financial services, chemicals, engineering, and materials, the TATA Group provides TCS with a grounded understanding of specific business challenges facing global companies. |
| • | Washington Publishing Company (Microsoft Certified Partner)
Washington Publishing Company (WPC) specializes in system integration, assisting organizations with their requirements concerning the administrative simplification components of the Health Insurance Portability and Accountability Act (HIPAA) of 1996. WPC is a leading expert in traditional Electronic Data Interchange (EDI) transaction processing using extensible markup language (XML) as an intermediary format. WPC is the publisher and copyright holder of the X12N Implementation Guides adopted by the United States government under HIPAA that specify the data format and content now mandated for use by all affected entities. WPC business analysts provide expert advice on diverse implementation issues. Analysts are under contract with the United States government concerning enforcement of the HIPAA transaction and code set regulations and hold several key leadership positions within the United States healthcare standards setting community. |
