New Mexico Selects HMS to Manage Quality Assurance Module for its Medicaid Modernization Effort
February 11 2020 - 9:00AM
New Mexico Human Services Department, has signed an agreement with
HMS (NASDAQ: HMSY) to manage the Quality Assurance (QA) module for
the state’s Medicaid Management Information Systems Replacement
(MMISR) project. This modular enterprise-wide approach – led by New
Mexico – will lead to more flexibility as well as a more
person-centric focus for multiple State agency partners.
The QA module includes program integrity; third-party liability
(TPL) detection, avoidance and recovery; fraud abuse detection and
reporting services; audit and hearing coordination; quality
reporting and recovery audit contracting (RAC).
“Our extensive program integrity product suite – featuring
thousands of data analytics and the latest artificial intelligence
and machine-learning technologies – was a natural fit to lead this
QA module for New Mexico,” said Michele Carpenter, senior vice
president of Government Services for HMS. “We are excited to
partner with the State on this forward-thinking and
transformational effort to drive further efficiency and improve
outcomes across the enterprise.”
Currently, HMS provides technology and services to more than
forty Medicaid agencies and over 200 Medicaid managed care plans;
and saves billions of dollars annually for healthcare payers,
government programs and other at-risk organizations.
About HMS HMS advances the healthcare system by
helping healthcare organizations reduce costs and improve health
outcomes. Through our industry-leading technology, analytics and
engagement solutions, we save billions of dollars annually while
helping consumers lead healthier lives. HMS provides a broad range
of coordination of benefits, payment integrity, care management and
member engagement solutions that help move the healthcare system
forward. Visit us at www.hms.com or follow us on Twitter
at @HMSHealthcare.
Contact:Lacey Hautzinger469-284-7240lacey.hautzinger@hms.com
HMS (NASDAQ:HMSY)
Historical Stock Chart
From Mar 2024 to Apr 2024
HMS (NASDAQ:HMSY)
Historical Stock Chart
From Apr 2023 to Apr 2024