Magellan Health Selects HMS for National Fraud, Waste, & Abuse Services & Coordination of Benefit Solutions for Magellan Comp...
October 21 2014 - 9:00AM
Business Wire
HMS, a wholly owned subsidiary of HMS Holdings Corp.
(NASDAQ:HMSY), announced today that Magellan Health, Inc.
(NASDAQ:MGLN) has selected HMS for cost containment solutions,
including fraud, waste, and abuse detection and prevention across
the company, as well as for insurance verification and subrogation
services for Magellan Complete Care of Florida, a Medicaid
specialty plan for individuals with serious mental illness.
“HMS values the opportunity to work with Magellan Health to
implement a flexible solution that effectively identifies fraud,
waste, and abuse and eliminates overpayments,” said Doug Williams,
president of commercial solutions for HMS. “We look forward to
supporting Magellan’s goals by reducing their risk and increasing
the value of the healthcare services they deliver.”
“We selected HMS to further enhance our fraud, waste, and abuse
detection and prevention work across our company to help ensure the
highest level of customer service and fiscal responsibility on
behalf of our customers and members,” said Victor Haddock, senior
vice president of internal audit and special investigations unit at
Magellan Health. “In addition, HMS will perform insurance
verification and subrogation services on behalf of Magellan
Complete Care of Florida, which will ensure that the company is
judiciously paying claims, while upholding program integrity.”
About HMS
HMS, a wholly owned subsidiary of HMS Holdings Corp. (NASDAQ:
HMSY), is the nation's leader in coordination of benefits and
program integrity services for healthcare payers. HMS's clients
include health and human services programs in more than 45 states;
commercial payers, including group health plans, Medicare Advantage
Plans, more than 150 Medicaid managed care plans, and employers;
the Centers for Medicare and Medicaid Services; and Veterans
Administration facilities. As a result of the company's services,
clients recovered over $3 billion in 2013, and saved billions more
through the prevention of erroneous payments.
About Magellan Health: Headquartered in Scottsdale,
Ariz., Magellan Health, Inc. is a healthcare management company
that focuses on fast-growing, complex and high-cost areas of
healthcare, with an emphasis on special population management.
Magellan delivers innovative solutions to improve quality outcomes
and optimize the cost of care for those we serve. Magellan’s
customers include health plans, managed care organizations,
insurance companies, employers, labor unions, various military and
government agencies, third party administrators, consultants and
brokers. For more information, visit MagellanHealth.com.
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HMS Media RelationsFrancesca Marraro,
212-857-5442fmarraro@hms.comorMagellan Health Media:Colleen
Flanagan Johnson, 860-507-1923cefjohnson@magellanhealth.com
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