Case Study: Leading Blue Cross Blue Shield affiliate achieves automated, integrated healthcare compliance with MetricStream

A Major Bcbs Affiliate Strengthens Its Healthcare Compliance Through Automation And Integration

The customer is an independent Blue Cross Blue Shield licensee and one of the largest healthcare coverage providers in its state. Faced with a rapidly expanding regulatory landscape (NAIC MAR, CMS, ACA, HIPAA) and hundreds of requirements, the company relied on manual spreadsheets, paper-based processes and siloed systems—making regulatory tracking, document management and accountability slow, error-prone and costly.

They selected MetricStream’s enterprise GRC platform to provide integrated regulatory alerts, a centralized policy and document repository, automated control assessments and issue management. The solution automated critical workflows, consolidated controls across silos, and delivered real-time dashboards—helping the company demonstrate compliance with NAIC MAR and CMS, reduce manual effort and costs, strengthen accountability, and increase stakeholder confidence.