Wave of the Present: Working Spouse Verification

Twenty-seven percent of all U.S. employers used working spouse provisions in 2015, a figure that is doubling. The cost-savings measure identifies employee spouses with access to insurance through their employers.

Attend this one-hour complimentary webinar at 11 a.m. Eastern, Tuesday, Dec. 12, as Christiana Healthcare and Mercy Health HR leaders join working spouse provision provider HMS to share best practices. The discussion will include when to outsource the work, how to choose between surcharge and carve-out options, how often to survey your employees, and the potential impact of ACA repeal and replace efforts on the approach.

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Medicaid Third Party Liability: Part of, and Impacted by, the National Healthcare Dialogue

Over the last year, healthcare has been an important topic of discussion both at the federal and state levels, ranging from the repeal of the Affordable Care Act to renewals for expiring programs that serve children and the dual eligibles, and greater state Medicaid waiver flexibility.

Did you know that Medicaid Third Party Liability (TPL) is also very much a part of these conversations and is impacted by interim activities as the national and state dialogues take shape? Join this HMS webinar at 2 p.m. Eastern, Tuesday, Dec. 5, to hear more about these TPL discussions, the impact to you, and how you may get involved.

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TRICARE and Medicaid Data Match Issue Paper
TRICARE and Medicaid Data Match Letter Template
CHIP Reauthorization Summary
CHIP Letter Template

Diving Deeper: Proven Fraud Solutions for Maximum Results

While many SIUs depend on referrals, unfortunately, this practice results in the team’s recovery opportunities mainly getting the small fish, the lesser cases with little effect in the overall ocean of fraud. What if you had the tools to challenge the status quo and cast the net to catch the bigger fish – those high quality cases that really make a difference?

Dive deeper into fraud solutions in this one-hour complimentary webinar at 2 p.m. Eastern, Tuesday, Nov. 28. HMS’s Jean Lyon and Ed Hewitt use a combination of analytics, algorithms, and a new scheme model to demonstrate how successful analytics are not only possible, but how they can become the new model for best practices in SIU.

In this presentation, attendees will:

  • learn how to internally build the SIU brand;
  • leverage key investigative opportunities; and
  • capture success with new best practices.
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Total Population Management

Join HMS and MHPA for a webinar on Total Population Management, 3 p.m. EST, Wednesday, Nov. 15.

To effectively bend the health cost curve, identification of risk is required across your entire population. While management of the high risk population accounts for 50% of your medical costs, that population is fluid. Early identification of pre-conditions such as pre-diabetes or obesity, can help you manage those from escalating into more serious conditions. Total Population Management provides tools to assess and manage risk in a coordinated platform, engaging your entire population.

Keys to achieving Total Population Management are knowing your members, engaging your members and coordinating care to manage health outcomes. Previously a challenge, HMS can now provide transparency into your total population and management through coordinated tools such as population risk intelligence, member engagement engine, and population health technology platform.

Join HMS’s Gary Call, MD, Chief Medical Officer; Ellen Harrison, RN, MBA, SVP Market Strategy and Consulting; Jill Field, Sr. Director Population Health Technology; and Jennifer Butler, Sr. Director Total Population Management Marketing; as they share with attendees how to:

  • Effectively manage all of your members on a personal level with increased flexibility using fewer resources to drive immediate results;
  • Identify risk in your general population and monitor existing conditions to support adherence in an automated approach; and
  • Activate members through a personalized conversation across multi-channels to build member profiles and assess health status, identify barriers, close gaps in care and increase member retention.
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Introduction to Eliza

Sept. 6, 2017

HMS is excited about our recent acquisition of Eliza Corporation, an industry leader in health engagement management. This complimentary, 30-minute webinar introduces Eliza and its scalable, multi-channel technology platform, proprietary data sources, industry leading analytics, and experience-driven program design. We explain our personalized approach to engaging and motivating healthcare consumers to improve your financial and health outcomes.

With an introduction by Bill Lucia, HMS President, Chairman, and CEO, learn more about this solution from Ellen Harrison, Eliza SVP, Market Strategy and Consulting.

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Medicaid Third Party Liability Act (H.R. 938): The Benefits to Your Program and How to Get Involved

May 25, 2017

The 115th Congress is off to a fast and furious start. On the docket is legislation to improve state’s ability to save and recover more money from Medicaid TPL activities. The legislation is pending before the House Energy and Commerce Committee.

Join this webinar with HMS’s Michele Carpenter, SVP Government Services, and Kristen Ballantine, VP Government Relations. They dive into the requirements, challenges, and considerations of third party liability and H.R. 938, and how this Act could affect the current healthcare landscape.

Replay webinar recording.
Download presentation.
Download H.R. 938 information sheet.
Download memo.
Download H.R. 938 support letter.

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