Health Plan

HMS helps commercial, Medicare Advantage and Medicaid Managed Care health plans contain costs, minimize risks and improve quality — from pre-service through post-pay.

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Health Plan 6
1

Coordination of Benefits Solutions

HMS’ COB Product suite is the Gold Standard, delivering the highest value to our customers through advanced technology and unparalleled expertise. Our solutions enhance payment accuracy while leveraging collaborative approaches to providers and other stakeholders.

2

Payment Integrity Solutions

HMS helps you identify and recover overpayments, detect and prevent fraud, ensure compliance with regulations, and increase cost savings through process improvements.

3

Total Population Management Solutions

HMS Total Population Management (TPM) is a portfolio of population health management solutions that provides analytics, engagement and technology to help reduce costs, improve health outcomes and enhance member experience.

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