HMS is enterprising healthcare. We provide the broadest range of healthcare cost containment solutions in the industry – all to help payers improve performance.
Back in 1974, HMS identified the multi-billion-dollar problem with Medicaid coordination of benefits, creating a solution from scratch for providers. We adapted that solution to state agencies and then to Medicaid managed care organizations. Later we pushed beyond coordination of benefits into payment integrity – including Medicare – and data solutions for health plans, state and federal agencies, and employers.
Today we are the most comprehensive cost containment company for healthcare payers in America. Using innovative technology as well as powerful data services and analytics, our solutions cover the entire payment continuum including eligibility verification, payment accuracy, fraud identification and prevention, cost savings, performance improvement, and provider education.
Most important, we save our customers billions of dollars a year in overpayment recoveries and billions more through the prevention of improper payments – targeting fraud, waste, and abuse; inappropriate claims; and ineligible claimants. We have one out of every three Americans under contact and strive to make the healthcare system better for everyone.
Enterprising is HMS. And HMS is enterprising healthcare.
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