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October 13, 2015 10:47 PM ET

Healthcare Providers and Services

Company Overview of Health Management Systems, Inc.

Company Overview

Health Management Systems, Inc. provides cost containment, co-ordination of benefits, and program integrity services for government healthcare programs in the United States. It also offers third party liability identification and recovery services; and medical support services, such as services to identify and establish insurance coverage for children, as well as addresses various types of services covered by commercial insurers or Medicare, including inpatient, outpatient, skilled nursing facility, home health care, physician/professional, ambulance, long-term care, durable medical equipment, and pharmacy services. In addition, the company provides services to state children's health insura...

401 Park Avenue South

New York, NY 10016

United States

Founded in 1974





Key Executives for Health Management Systems, Inc.

Chief Operations Officer
Age: 46
Executive Vice President, General Counsel and Corporate Secretary
Age: 56
Senior Vice President of Government Services - West
Senior Vice President of Government Services - East
Executive Vice President of Commercial Markets
Age: 46
Compensation as of Fiscal Year 2015.

Health Management Systems, Inc. Key Developments

HMS Wins Medicaid TPL Cost Containment Contract by State of Oklahoma

HMS, Inc., a wholly owned subsidiary of HMS Holdings Corp. announced that it has been awarded a competitively bid contract by the Oklahoma Health Care Authority (OHCA) to provide cost containment services for the SoonerCare (Oklahoma Medicaid) program. Under provisions of the contract, HMS is scheduled to provide coordination of benefits to maximize cost savings from third party collections for the State’s 825,000 SoonerCare members. The contract, including the base year and renewal options, extends through June 30, 2021.

Health Management Systems Inc. Wins the Medicaid Third Party Liability Match and Recovery Services Contract

Health Management Systems Inc. has been awarded the Medicaid Third Party Liability Match and Recovery Services contract. HMS Holdings said the contract was awarded by the New York State Office of Medicaid Inspector General. The contract is expected to be for five years starting on Jan. 7, 2016.

HMS Wins Third Party Liability Contract in North Carolina

HMS, Inc. announced that the company won a competitive bid by the North Carolina Department of Health and Human Services (DHHS) Division of Medical Assistance (DMA) to provide coordination of benefits solutions for the State’s Medicaid population. The contract scope includes other health insurance identification, overpayment recovery, and casualty and estate recovery services. The State has added Special Needs Trusts recovery services and credit balance self-disclosure services to the scope of HMS’s prior contract with DMA. The initial two-year contract runs through November 2016 and includes an optional one-year extension period.

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