State

Every year HMS saves state government agencies billions of dollars by identifying and preventing fraud, waste, and abuse; and increasing system efficiency through healthcare cost containment solutions.

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State
1

Third Party Liability Solutions

With U.S. healthcare spending reaching more than $3 trillion a year, it’s more important than ever for state agencies to find third party liability. HMS is the innovator in this field, beginning with our pioneering identification and recovery for Medicaid. Today, we recover billions of dollars a year for customers plus save billions more through improper payment prevention.

2

Program Integrity Solutions

HMS helps you identify and recover overpayments, detect and prevent fraud, ensure compliance with regulations, and increase cost savings through process improvements. We also find ineligible dependents on your health plan, as well as employees’ spouses with access to coverage.

3

Total Population Management Solutions

Identification of high-use members from day one. Industry-best care management tools to promote the health of all your members. And member-centric communications to engage them. Those three elements will become the standard of population health technology in the future. HMS can provide them for you today.

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