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  • Health Insurance Compliance

    • SAI Global rated as visionary in the Integrated Risk Management Magic Quadrant, 2018

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    • Streamline market conduct exams: pre-planning, fieldwork, follow-up

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    • Manage fraud, waste and abuse risk and avoid improper billing schemes

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  • Keep up with evolving regulations to avoid sanctions and reputational damage. Demonstrate an effective risk and compliance culture to drive better business performance.

  • Simplify the complicated

    Continuous, responsive compliance with changing regulations

    • Updated regulations and assessment questions
    • Virtual Evidence Room provides proof of compliance
    • Workflow enabled policy management
  • Control third party risk

    Automate your third party risk management program

    • Centralized contract management
    • Flexible vendor assessment questionnaires
    • Actionable dashboard reports

  • Avoid costly penalties

    Evolve your HIPAA compliance program from reactive to proactive.

    • Automated workflows, controls and alerts
    • ePHI breach assessment questionnaire
    • Corrective actions management

  • More Healthcare Capabilities

    Integrated risk and compliance solutions for health insurance companies

  • Why SAI Global

    SAI Global rated as visionary in the Integrated Risk Management Magic Quadrant, 2018
    SAI Global top ranked for strategy in The Forrester Wave™ GRC Platforms, Q1 2018
  • “We are delighted with our implementation of the SAI Global solutions and the services and support we continue to receive. We continue to expand its use across the business to support a wide range of GRC use cases

    We continue to expand its use across the business to support a wide range of GRC use cases.”

    Mikella Newsom
    Chief Risk Officer, City Bank

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  • Insights

    Meet ORSA reporting requirements


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    Insurance corporate governance - what's a board to do?

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    The essential role of Incident and whistleblowing programs

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    Don't let conflicts of interest damage your brand

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    How do you know if your compliance program is effective?

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    more insights

  • Resources

    STANDARDS
    NCQA and
    URAC standards

    Continuous readiness for accreditation surveys

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    AUDIT RULE
    NAIC Model
    Audit Rule

    Automate your MAR compliance program

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    SERVICES
    Implementation
    Services

    Maximize your software ROI with results-driven services

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  • Integrated risk and compliance software, advisory, content and learning.