HMS Commercial Solutions, a part of HMS Holdings Corp. (NASDAQ:HMSY), announced today that it has been awarded a contract by Boston Medical Center Health Plan, Inc. (BMCHP) in Massachusetts to provide comprehensive fraud, waste, and abuse services, including retrospective and pre-payment reviews.
“The detection and prevention of fraud, waste, and abuse is a paramount concern for Medicaid health plans,” said Ronald Singh, HMS Executive Vice President. “HMS looks forward to working with BMCHP to implement a scalable and flexible solution to enhance the Plan’s program integrity efforts and reduce improper spending.”
HMS has provided services to BMCHP since 2007, delivering more than $40 million in savings during that time.
About HMSHMS Holdings Corp. (NASDAQ: HMSY), through its subsidiaries, 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 40 states; commercial programs, including commercial plans, employers, and over 150 Medicaid managed care plans; the Centers for Medicare and Medicaid Services (CMS); and Veterans Administration facilities. As a result of the company's services, clients recovered over $3.2 billion in 2012, and saved billions more through the prevention of erroneous payments. About BMC HealthNet Plan and Well Sense Health Plan BMC HealthNet Plan is a non-profit managed care organization committed to providing the highest quality healthcare coverage to underserved populations. In Massachusetts, BMC HealthNet Plan is the business name for Boston Medical Center Health Plan, Inc.; outside Massachusetts, Well Sense Health Plan is the business name. BMC HealthNet Plan is the largest Medicaid health plan in Massachusetts serving nearly 280,000 members across three product lines. It is ranked in the top 10 among Medicaid plans in the nation according to the National Committee for Quality Assurance (NCQA) Medicaid Health Insurance Plan Rankings, 2013-2014. BMC HealthNet Plan has also continued to earn Excellent Accreditation from NCQA for its Medicaid plan since 2009. In 2012, Well Sense Health Plan was selected by the New Hampshire Department of Health and Human Services to be one of three health coverage providers – and the only non-profit – to offer managed care coverage for the first time to that state’s Medicaid recipients.