MedHOK’s pioneering software platform empowers health plans and other risk-bearing entities offering government-sponsored programs to excel in risk, quality, and care management, while ensuring compliance with federal and state requirements. The only software that integrates pharmacy and medical care on a single platform, MedHOK creates a 360o view of the member, allowing payers to identify and target member health risks, intelligently trigger workflow interventions, and improve quality of care to succeed in the value-based revenue model. Out-of-the-box compliant and proactively updated for Medicare, Medicaid, and Affordable Care Act regulations, our SaaS-based software is a compliance powerhouse. Recognized by Inc. magazine as the nation’s 25th fastest growing private company and the 6th fastest growing private healthcare company, MedHOK is NCQA certified in HEDIS®, Pay for Performance, and Disease Management. MedHOK is the software platform of choice for more than 50 of the nation’s largest healthcare payers, managing close to 40 million lives.
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Employee Rating

3.1More
TypePrivate
HQTampa, US
Size (employees)230 (est)+2%
Websitemedhok.com
MedHOK is headquartered in Tampa, US
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Key People/Management at MedHOK

Anil Kottoor

Anil Kottoor

President & CEO
Jay Green

Jay Green

CFO
Vig Ponnusamy

Vig Ponnusamy

CTO
Marc Ryan

Marc Ryan

Chief Strategy & Compliance Officer
David Bricker

David Bricker

Chief Pharmacy Officer
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MedHOK Office Locations

MedHOK has an office in Tampa
Tampa, US (HQ)
150 5550 W Idlewild Ave
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MedHOK Financials and Metrics

Summary Metrics

MedHOK total Funding

$77.5 m

MedHOK latest funding size

$77.50 m

Time since last funding

5 years ago

MedHOK investors

MedHOK's latest funding round in January 2014 was reported to be $77.5 m. In total, MedHOK has raised $77.5 m
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MedHOK Online and Social Media Presence

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MedHOK Blogs

CMS Releases 2019 Plan Year Checklist

The Centers for Medicare and Medicaid Services (CMS) recently released its 2019 Plan Year Checklist. The checklist is not a substitute for understanding all of the myriad regulations, manuals and HPMS memos applicable to plans, but in some ways, it is the bible for successful plan operat…

Medicare Plans Could Face Additional Appeal Scrutiny

A recently released Health and Human Services (HHS) Office of Inspector General (OIG) report could mean Medicare Advantage (MA) and Part D plans face even greater scrutiny over high rates of appeal overturns.

CMS Administrator Verma: Medicaid Audits Coming

Boom! A huge bomb went off last week when Centers for Medicare and Medicaid Services Administrator (CMS) Seema Verma announced that the agency will begin targeted financial audits of Medicaid managed care insurers.

CMS Reinforces Ability to Go Digital

While the move has not gained great publicity since its announcement in the Medicare Communications and Marketing Guidelines (MCMG) on Jul. 20, 2018, at its Fall Conference earlier this month the Centers for Medicare and Medicaid Services (CMS) reiterated new guidance that allows plans t…

September 2018 Compliance Newsletter

Clarifications from CMS To Classify or not to Classify as a Coverage Determination or Inquiry for a Part D on Formulary Drug Request? Most plans tend to treat requests for Coverage Determinations for an on-formulary drug as a Coverage Determination. This goes back to a directive many y…

Notification Relief for Plans on Part C External Reviews

A little bit of the burden on external reviews has been lifted from Medicare Advantage (MA) plans by the Centers for Medicare and Medicaid Service (CMS). Effective Jan. 1, 2019, CMS is removing the requirement for plans to notify enrollees upon forwarding Part C denial cases to the Indep…
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MedHOK Company Life and Culture

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MedHOK Frequently Asked Questions

  • Who are MedHOK key executives?

    MedHOK's key executives are Anil Kottoor, Jay Green and Vig Ponnusamy.

  • How many employees does MedHOK have?

    MedHOK has 230 employees.

  • Who are MedHOK competitors?

    Competitors of MedHOK include MedCPU, MediSafe Project and Datica (formerly Catalyze).

  • Where is MedHOK headquarters?

    MedHOK headquarters is located at 150 5550 W Idlewild Ave, Tampa.

  • Where are MedHOK offices?

    MedHOK has an office in Tampa.

  • How many offices does MedHOK have?

    MedHOK has 1 office.