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powering the future of health care together

Partner With Proven Experience: HM Health Solutions

Enterprise Health Solution

Introducing the next generation of a health care solution that tackles today's demands and anticipates tomorrow's challenges. Cutting-edge technology and superior health care knowledge drive our solutions in the health care industry.

LANDSCAPE

The health care landscape is going through unprecedented change and creating enormous challenges for health payers. Yesterday’s differentiators are quickly becoming today's table stakes and the cost to compete is becoming increasingly unmanageable. Responding to these disruptive challenges and developing solutions can be expensive, risky, and ineffective.

In order to differentiate your business in this new era and outpace growing competition, you need more sophisticated tools and processes. You need a partner that you can rely on to tackle the new realities of health care. We can help.

See our Features and Capabilities for more information.

Claims

Customer Service

Utilization Management

OUR APPROACH IS DIFFERENT

PEOPLE — Experienced health care professionals that can help you take advantage of the HM Health Solutions capabilities, transform your business, and optimize your operations. Our team is committed to achieving your desired business outcomes.

PROCESS — Best-practice processes that enable high-quality, efficient operations. Our proven methods support leading health plans that serve millions of members.

PLATFORM — An integrated platform that is flexible and configurable to meet client-specific and market-specific needs. It leverages state-of-the-art technology to support a comprehensive suite of offerings. With leading breadth and depth, the platform supports the commercial (national, large group, and individual), Medicaid, and Senior Markets lines of business. In addition, the platform supports dental and vision products that provide added value for customers.

PERFORMANCE — Our people, process, and platform provide top-line revenue growth, lower administration costs, and superior member experience for health plan partners.

Learn more by watching these brief videos.

EHS Tools: Claims, Customer Service, Utilization Management

EHS tools are:

  • Easy to use and intuitive
  • Integrated with the platform
  • Configured to your business needs

They make it easy for you to:

  • Monitor workflow
  • Reassign tasks
  • Issue reports in real time

Customer-Centric

Stories