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How Engaging Members Throughout Their Lifecycle Improves Health Outcomes and the Bottom Line

By Gary Call, M.D.
Apr. 23, 2019

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Blog Posts

Social Determinants of Health:  The Impact on Members, Health Outcomes and the Bottom Line

Social Determinants of Health: The Impact on Members, Health Outcomes and the Bottom LineMar. 7, 2019

HMS Pods: Episode 3 | AI and New Tech Driving Payment AccuracyFeb. 20, 2019

Pension Beneficiary Verification Case StudyFeb. 15, 2019

Pension Beneficiary Verification Info SheetFeb. 15, 2019

Utilizing AI to Advance Program Integrity

Utilizing AI to Advance Program IntegrityJan. 29, 2019

HMS Welcomes Maria Perrin as Chief Marketing and Strategy OfficerJan. 29, 2019

IRVING, Texas, Jan. 29, 2019 – HMS Holdings Corp. (NASDAQ: HMSY) today announced the appointment of Maria Perrin as chief…

HMS Pods: Episode 2 | Why Coordination of Benefits is Important to ProvidersJan. 29, 2019

HMS Pods: Episode 1 | Social Determinants of HealthJan. 29, 2019

Three Key Healthcare Trends in 2019 1

Three Key Healthcare Trends in 2019Jan. 23, 2019

HMS Hires Robert P. Borchert as New Investor Relations OfficerJan. 4, 2019

HMS to Present at the J.P. Morgan 37th Annual Healthcare ConferenceDec. 21, 2018

Coverage on DemandDec. 13, 2018

COBManager® Info SheetDec. 3, 2018

Top Medicaid Trends in 2019Nov. 30, 2018

The Cost of Not Taking Our Medicine: The Complex Causes and Effects of Low Medication AdherenceNov. 29, 2018

(Source: The American Journal of Accountable Care)

Medicaid Trends to Watch in 2019Nov. 26, 2018

Addressing Social Determinants of Health to Improve Health Outcomes

Addressing Social Determinants of Health to Improve Health OutcomesNov. 21, 2018

Blockchain Applications in HealthcareNov. 16, 2018

COBManager®Nov. 9, 2018

Premium Coordination of Benefits ServicesNov. 5, 2018

A Different Lens: Evaluating Quality of Care from the Consumer PerspectiveNov. 5, 2018

HMS Holdings Corp. Reports Third Quarter ResultsNov. 2, 2018

Quality

HMS Achieves ISO 9001:2015 CertificationOct. 25, 2018

PRI Registrar recognizes HMS for its commitment to quality and continual improvement IRVING, Texas, Oct. 25, 2018 (PRWEB) – HMS…

Spinal Cord Injury Patients Use Robotics Technology from RewalkOct. 23, 2018

COB on DemandOct. 19, 2018

HMS Holdings Corp. to Report Third Quarter 2018 Financial and Operating ResultsOct. 17, 2018

HIT Consultant: HMS’ Jen Forester Discusses Social Determinants of HealthOct. 9, 2018

Using Healthcare Data to Tackle the Opioid CrisisOct. 9, 2018

Don’t Let HOS and CAHPS Results Break your Star Rating Improvement StrategyOct. 9, 2018

Rising Stars: 90 Healthcare Leaders Under 40Oct. 9, 2018

HMS Health Ideas

HMS Launches Health Ideas Website as Forum for Industry PerspectivesOct. 2, 2018

We are pleased to introduce HMS Health Ideas, an online forum to share opinions and perspectives on challenging the status quo and moving healthcare forward.

The Golden Hour for Member EngagementSep. 17, 2018

HMS and Kotter Host Executive Roundtable
on Best Practices for Leading Organizational ChangeAug. 30, 2018

Global corporate leaders gathered to brainstorm, discuss and test real-world strategies for transforming their organizations IRVING, Texas, Aug. 30, 2018…

HMS Teams with Puerto Rico’s Largest Health Insurance Plan to Deliver Innovative Care Management Software SolutionAug. 15, 2018

Triple-S Salud Blue Cross Blue Shield of Puerto Rico to leverage HMS’ Essette solution for advanced care management, utilization management…

HMS Holdings Corp. Reports Second Quarter 2018 ResultsAug. 3, 2018

Medicaid Who’s Who Interview: Bill LuciaJul. 31, 2018

Six Factors Holding Payers Back from Improving Star RatingsJul. 30, 2018

Pre-Pay Clinical Claim Review for Employers

agilon health to Leverage HMS Essette Care Management Technology for its Care Delivery NetworksJul. 26, 2018

Industry leaders collaborate to offer customized workflows and business intelligence capabilities to physicians through integrated, SaaS-based platform IRVING, Texas, July…

HMS Holdings Corp. to Report Second Quarter 2018 Financial and Operating ResultsJul. 18, 2018

The Consumerization of HealthcareJul. 11, 2018



Welcome to Health IdeasJul. 11, 2018

Health Ideas – DiversityJul. 11, 2018

Know Your Members: Identifying and Addressing Social Determinants of Health in Low-Income PopulationJul. 5, 2018

HMS Settles Litigation Related to 2010 Asset Purchase – Agreement Substantially Reduces 2017 Jury AwardJul. 2, 2018

How a 40 year-old company acts like a startup 1

How a 40 year-old company acts like a startupJul. 2, 2018

The Golden Hour for Membership Engagement: Pre-Boarding for Improved Consumer ExperienceJun. 21, 2018

HMS at a GlanceJun. 7, 2018

HMS Introduces Award-Winning Health Plan Member Analytics SolutionMay. 30, 2018

New population risk intelligence solution, HMS Elli, provides key health plan member insights to enable proactive care management IRVING, Texas –…

HMS to Present at the William Blair 38th Annual Growth Stock ConferenceMay. 30, 2018

HMS Receives 2018 Achievement in Customer Excellence AwardsMay. 16, 2018

Using Social Determinants of Health for Risk StratificationMay. 9, 2018

HMS Holdings Corp. Reports First Quarter 2018 ResultsMay. 4, 2018

HMS Welcomes Former WEBMD Executive As Chief Technology OfficerApr. 30, 2018

HMS Total Population ManagementApr. 17, 2018

HMS Holdings Corp. to Report First Quarter 2018 Financial and Operating ResultsApr. 17, 2018

Innovations in Third Party Liability (TPL) SolutionsMar. 26, 2018

HMS Cited by Gartner in Payment Integrity-focused Research Report and Market Guide for Healthcare Payer Care Management Workflow ApplicationsMar. 22, 2018

We Need Data and Technology to Fight the Opioid EpidemicMar. 21, 2018

Children’s Health Insurance Program (CHIP): New Opportunities for Third Party Liability SavingsMar. 14, 2018

HMS Holdings Corp. Reports Fourth Quarter and Full Year 2017 ResultsFeb. 23, 2018

Managing Fraud, Waste, and Abuse During the Expansion of TelehealthFeb. 14, 2018

HMS Holdings Corp. to Report Fourth Quarter and Full Year 2017 Financial and Operating ResultsFeb. 9, 2018

RFP Evaluations and WritingFeb. 2, 2018

Contain Costs Through Clinical Claim ReviewJan. 19, 2018

Dr. Gaiser Discusses Flu Shot Controversy on Facebook Live for Dallas ABC News AffiliateJan. 18, 2018

Chicago Healthcare Veteran Michael Cole Appointed SVP, Commercial Markets, at HMSJan. 8, 2018

Surge in Working Spouse Provision Verifications: HR Leaders Seek Solutions to Rising Healthcare BenefitsJan. 8, 2018

Twenty-seven percent of all U.S. employers used working spouse provisions in 2015, a figure that will double in 2018, according to Willis Towers Watson/National Business Group. The cost-savings measure identifies employee spouses with access to insurance through their employers. In this whitepaper, learn 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.

HMS Appoints Two Healthcare Veterans To New Leadership RolesJan. 8, 2018

SecurityJan. 8, 2018

Bill Lucia Discusses Dreamers at Dallas Chamber of CommerceNov. 27, 2017

CEO Bill Lucia took the podium as the first speaker in a high-profile discussion on Dreamers and DACA legislation sponsored…

Diving Deeper: Proven Fraud Solutions for Maximum ResultsNov. 20, 2017

What if you had the SIU tools to cast the net to catch the bigger fish – those high quality cases that really make a difference? Dive deeper into fraud solutions in this webinar where a combination of analytics, algorithms, and a new scheme model can become the new model for best practices in SIU.

Total Population ManagementNov. 13, 2017

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

HMS Holdings Corp. Reports Third Quarter 2017 ResultsNov. 3, 2017

HMS Holdings Corp. To Report Third Quarter 2017 Financial and Operating ResultsOct. 23, 2017

Indefatigable RACs Plow AheadOct. 4, 2017

D CEO – Conversation With: Bill Lucia, CEO of HMSSep. 22, 2017

Children’s Health Insurance Program: Taking the Long ViewSep. 20, 2017

Clinical Claim Review: Inpatient Rehabilitation Facility ReviewAug. 29, 2017

Clinical Claim Review: Automatic Implantable Cardiac Defibrillator (AICD) ReviewAug. 29, 2017

Protected: Purchase Order Terms and ConditionsAug. 16, 2017

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Payment Integrity Solutions: How Brokers Can Add Compelling Value to Self-insured EmployersAug. 15, 2017

HMS Holdings Corp. Reports Second Quarter 2017 ResultsAug. 4, 2017

Clinical Claim Review: Skilled Nursing FacilitiesJul. 31, 2017

Clinical Claim Review: Readmissions ReviewJul. 31, 2017

Clinical Claim Review: Place of Service ReviewJul. 31, 2017

Clinical Claim Review: Medical Drug ReviewJul. 31, 2017

Clinical Claim Review: DRG Validation ReviewJul. 31, 2017

The Internet of Things: New Connections to Healthcare Opportunity, by HMS SVP Andy GaudetteJul. 20, 2017

HMS Holdings Corp. To Report Second Quarter 2017 Financial and Operating ResultsJul. 18, 2017

Shining a Light on FraudJul. 12, 2017

D CEO Names 2017 Corporate Counsel Awards FinalistsJul. 10, 2017

Taming Chaos Through Technology: Rocky Mountain Health Plans Fell in Love with HMS’s Essettesuite Population Health Technology. “Love” Is Their Word, Not Ours.Jun. 21, 2017

HMS Named to the 2017 IDC Health Insights HealthTech Rankings Top 50Jun. 15, 2017

Bigger Data, Better Savings: How HMS Helped a Major Managed Care Organization Quadruple Coordination of Benefits Recoveries

Bigger Data, Better Savings: How HMS Helped a Major Managed Care Organization Quadruple Coordination of Benefits RecoveriesJun. 13, 2017

HMS to Present at the William Blair 37th Annual Growth Stock ConferenceJun. 9, 2017

Lower Stress. Greater Efficiency. A Coordinated Care Organization Discovers the Benefits of Using Comprehensive Software Backed By a Great TeamJun. 7, 2017

HMS Releases New Version of Care Management Platform Cloud-Based EssetteSuite 3.10: Includes New Customer Service Solution and Provider PortalJun. 7, 2017

HMS Holdings Announces Filing of 2016 10-K and 1Q’17 10-Q With the SECJun. 6, 2017

HMS Ranks No. 30 on Healthcare Informatics 100: Inclusion on List of Top U.S. Healthcare IT Companies Affirms Company Growth and Product DiversificationJun. 6, 2017

2017 Healthcare Informatics Top 100 ListJun. 5, 2017

Medicaid Efficiency is Needed Now More Than Ever, by HMS CEO Bill LuciaMay. 31, 2017

HMS Holdings Receives Expected Notification From NASDAQ Regarding Late Form 10-Q FilingMay. 30, 2017

Medicaid Third Party Liability Act (H.R. 938)May. 25, 2017

HMS Holdings Corp. Reports First Quarter 2017 ResultsMay. 10, 2017

HMS Holdings Corp. to Report 1Q 2017 Financial and Operating ResultsMay. 3, 2017

HMS Holdings Announces Closing of Eliza Corporation Acquisition: All Cash Transaction Expected to be Accretive to 2017 EarningsApr. 18, 2017

State: Managed Care Performance Powered by CNSI MC-TrackApr. 10, 2017

Health Plans: Managed Care Performance Powered by CNSI MC-TrackApr. 10, 2017

State Dialogue, April 5, 2017Apr. 6, 2017

Employer Dialogue, April 5, 2017Apr. 6, 2017

Health Plan Dialogue, April 5, 2017Apr. 6, 2017

DEV Outcomes: Hospitals and Health SystemsApr. 3, 2017

Quick Wins: How HMS Helped a Multi-state Managed Care Organization Start Winning the War on FraudMar. 28, 2017

HMS Releases Report on Solutions to More Effectively Manage Costs as Congress Contemplates Medicaid ReformMar. 21, 2017

HMS Holdings Provides An Update on Status of Fiscal Year-End SEC Reporting: Estimated Impact on FY2016 CMS Reserve LiabilityMar. 16, 2017

HMS Holdings Announces Agreement to Acquire Eliza Corporation: Transaction further expands member health and care management analytics footprintMar. 13, 2017

HMS Holdings Corp. Reports Fourth Quarter and Full-Year 2016 ResultsFeb. 24, 2017

Why the Trump Administration Can’t ‘Drain the Healthcare Swamp’ by Only Focusing on Healthcare Fraudsters, by HMS CMO Gary Call, MDFeb. 14, 2017

HMS Holdings Corp. To Report 4Q And Full Year 2016 Financial and Operating ResultsFeb. 7, 2017

A Post ACA Medicaid Program Geared Towards Sustainability by HMS CEO Bill LuciaJan. 18, 2017

Essette Utilization Management InfographicJan. 11, 2017

EssetteSuite Utilization Management: Intelligent Automation Lets You Do More With LessJan. 11, 2017

EssetteSuite InfographicJan. 11, 2017

Essette Population Management InfographicJan. 11, 2017

EssetteSuite Care Management InfographicJan. 11, 2017

Essette Population Management: Advanced Analytics Drives Meaningful Member EngagementJan. 10, 2017

EssetteSuite Care Management: Better Patient Outcomes, Lower Plan CostsJan. 10, 2017

EssetteSuite: Where True Integration Meets Maximum FlexibilityJan. 10, 2017

Essette Fax Management: Optimize Workflow, Increase Staff Efficiency, and Reduce ErrorsJan. 10, 2017

Essette Advanced Analytics InfographicJan. 10, 2017

Essette Advanced Analytics: Boost Your Quality, Performance, and ComplianceJan. 10, 2017

EssetteSuite Customer Service InfographicJan. 10, 2017

EssetteSuite Customer Service: Provide Solid Support for Your Members’ Critical ConcernsJan. 10, 2017

Essette Provider Portal InfographicJan. 10, 2017

Essette Provider Portal: Let Auto-authorizations Drive Adoption to Your Best Communications ChannelJan. 10, 2017

Essette Appeals and Grievances InfographicJan. 10, 2017

Essette Appeals and Grievances: The Only Integrated Platform in the Business Dedicated to Appeals and Grievances ProcessesJan. 10, 2017

EssetteSuite Business Intelligence: Show Rich Data Visualization Across the Entire Population Management Technology Spectrum – On a Single ScreenJan. 10, 2017

Essette Business Intelligence InfographicJan. 10, 2017

State Dialogue, Jan. 6, 2017Jan. 6, 2017

Health Plan Dialogue, Jan. 4, 2017Jan. 4, 2017

Employer Dialogue, Jan. 4, 2017Jan. 4, 2017

High Yields: How HMS’s Holistic Cost Containment Methods Generated Substantial Recovery of Overpaid ClaimsDec. 27, 2016

Perpetual Dependent Eligibility Verification: Move Beyond Cost Containment to Cost PreventionDec. 23, 2016

Quality Counts: A Regional Health Plan Recovered Millions Through HMS’s Rigorous Audit Process.Dec. 16, 2016

Adventures in Change: Navigating the Affordable Care Act’s Effect on Medicaid Coordination of BenefitsDec. 9, 2016

Dec. 7, 2016 The Affordable Care Act (ACA) changed the landscape of Medicaid eligibility and enrollment, forcing Medicaid agencies and…

Advisory Services: Consult With HMS to Maximize Your Cost Containment EffortsDec. 7, 2016

EssetteSuite InfographicDec. 5, 2016

Fraud Solutions – Harness the Power of Innovation to Fight a Multibillion Dollar ProblemNov. 15, 2016

Fraud Solutions – Link Visualization: See the Relationships Driving Healthcare FraudNov. 15, 2016

Fraud Solutions – Lead Management: Get Targets Through Your Investigative PipelineNov. 15, 2016

Fraud Solutions – Guided Analytics: Intuitive Analysis Prompts Actionable InsightsNov. 15, 2016

Fraud Solutions – Case Management: Ensure Efficient and Consistent Case HandlingNov. 15, 2016

Clinical Claim Review: Avoid Errors and Prevent Inappropriate PaymentsNov. 14, 2016

Pre-pay Clinical Claim Review (State): Here’s Innovation That PaysNov. 2, 2016

Employer Dialogue, Oct. 6, 2016Oct. 6, 2016

State Dialogue, Oct. 6, 2016Oct. 6, 2016

Health Plan Dialogue, Oct. 6, 2016Oct. 6, 2016

The New Medicaid Managed Care Rule: Practical Guidance From Multiple ViewpointsSep. 27, 2016

Sept. 27, 2016 Join panelists James Golden of Centers for Medicare and Medicaid Services (CMS), Michael McCoy of New Jersey…

Payer Power: Minimizing Provider ImpactAug. 10, 2016

Special Needs Trust Recovery Services: Maximum Recoveries. Maximum Compliance.Aug. 8, 2016

Long Term Care Financial Review: Comprehensive Reviews That Maximize RecoveriesAug. 8, 2016

Credit Balance Audit: Pain Relief for Your RecoveriesAug. 1, 2016

Cost Report Services: Cut Fraud and Save MoneyJul. 26, 2016

Medicare Advantage Premium Protection: Is Your Plan Leaving Money on the Table?Jul. 26, 2016

Medicaid Coordination of Benefits: Your Strongest Partner to Maintain the Strongest PlanJul. 22, 2016

Bill Audit: Less Aggravation, More RecoveriesJul. 21, 2016

Other Health Insurance/Insurance Identification and Verification: Coordination of Benefits for Federal AgenciesJul. 19, 2016

Estate Recovery Sevices: More Important Than EverJul. 19, 2016

Workers’ Compensation Recovery Services: It’s Time to Take Another LookJul. 18, 2016

Medicaid Recovery Audit Contractor: First in Medicaid Recoveries. First in Medicaid RAC.Jul. 18, 2016

State Dialogue, July 12, 2016Jul. 12, 2016

Health Plan Dialogue, July 12, 2016Jul. 12, 2016

Employer Dialogue, July 12, 2016Jul. 12, 2016

Dependent Eligibility Verification: A Powerful Way to Protect Your Plan From WasteJun. 16, 2016

Medical Plan Audit: Your Solution to Reduce Claim ErrorsJun. 16, 2016

Pre-pay Clinical Claim Review: Here’s Innovation That PaysJun. 13, 2016

Investigation Support: Scrutinize High-risk Targets and Prevent OverpaymentsJun. 10, 2016

Working Spouse Provision Verification: Save When Spouses on Your Health Plan Have Other CoverageJun. 10, 2016

Third Party Liability: Proven Experience. Proven Savings.Jun. 3, 2016

TPA Payment Integrity Solutions: A Compelling Market Advantage for Third Party AdministratorsMay. 27, 2016

A Compelling Market Advantage for You   Download Product Sheet Slow the rapidly increasing costs and risk in health benefit plans…

Broker Payment Integrity Solutions: How You Can Add Compelling ValueMay. 27, 2016

How You Can Add Compelling Value   Download Product Sheet Self-insured employers are searching for ways to slow the rapidly increasing…

Identifying Prescription Abuse, by Erwin Acuna and Erik Chase in Fraud MagazineApr. 20, 2016

Health PlanApr. 8, 2016

StateApr. 8, 2016

EmployerApr. 8, 2016

Meet HMS: How Tapping the Broadest Range of Cost Containment Solutions in Healthcare Can Strengthen Your PlanApr. 8, 2016

Savings CalculatorApr. 5, 2016

Dependent Eligibility VerificationApr. 3, 2016

Curing Employee Benefits Blues: Solutions That WorkApr. 3, 2016

Mar. 10, 2016 When employee benefits costs weigh you down, lighten your load! Join David Hines, benefits director of Metropolitan…

Root Causes: How Looking Deeper Helped HMS Improve an MCO’s Improper Payment Prevention System

Root Causes: How Looking Deeper Helped HMS Improve an MCO’s Improper Payment Prevention SystemApr. 3, 2016

The Painful Side-effects of Opioid Fraud: Fighting the Phantom with Proactive Approaches to Analytics, Investigations, and PartnershipsMar. 3, 2016

Mar. 3, 2016 Do opioid abuse investigations leave you with a headache? You’re not alone. During this webinar, Ed Hewitt,…

Trust But Verify – Claims Audit by Steve J. NouryFeb. 3, 2016

Demystifying Oral and Maxillofacial Surgery: Extractions, Impactions, Anesthesia, Sleep Apnea Appliances, and BillingDec. 14, 2015

Dec. 14, 2015 Grinding your teeth over dental fraud? HMS Consultant Dr. David Rubin has the cure in this webinar….

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