HMS Releases Report on Solutions to More Effectively Manage Costs as Congress Contemplates Medicaid Reform
March 21 2017 - 8:50AM
HMS Holdings Corp. (NASDAQ:HMSY) today released a report that
outlines a roadmap for Medicaid reform that focuses on reigning in
costs and cutting wasteful spending without cutting eligibility,
benefits, or reimbursement rates. The analysis was compiled to help
healthcare policymakers better understand industry best practices,
as they seek to reform Medicaid-focused provisions of the
Affordable Care Act.
Titled “Pathways to a Sustainable Medicaid Program: Effective
Cost Management for a New Era of Reform,” the report provides four
specific recommendations to enhance the long-term sustainability of
the 52-year-old program:
- Securing Medicaid’s payer of last resort principles to ensure
Medicaid is not paying claims that are the legal responsibility of
a liable third party;
- Strengthening oversight provisions and incentives for Medicaid
program integrity efforts to ensure waste is rooted out of the
system;
- Leveraging premium assistance programs for Medicaid to maximize
savings of Medicaid beneficiaries who have access to employer
sponsored coverage; and
- Expanding the use of data collected for Medicaid program
integrity and third party liability to areas such as population
health, care management, and eligibility verification.
“As Congress considers various Medicaid reforms, HMS offers our
perspective on how significant program savings can be achieved –
using proven and time-tested approaches that in some instances do
not require any new legislative action,” said Bill Lucia, HMS
Chairman and CEO. “HMS provides cost containment services for most
state Medicaid agencies, which gives us a unique view on what works
in terms of quickly saving taxpayer money.”
To download a complimentary copy of the report, visit
hms.com.
About HMS
HMS Holdings Corp., through its subsidiaries, provides
coordination of benefits, payment integrity and care management
solutions for payers and at-risk providers. The Company serves
state Medicaid programs; commercial health plans,
including Medicaid managed care, Medicare
Advantage and group and individual health lines of business;
federal government health agencies, including the Centers for
Medicare & Medicaid Services and the Veterans Health
Administration; government and private employers; child support
agencies; and other healthcare payers and sponsors. As a result of
the Company's services, customers recover billions of dollars
annually and save billions more through the prevention of improper
payments.
Media Relations Contact
Francesca Marraro, VP Marketing and Communications
212-857-5442
fmarraro@hms.com
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