HMS Expands Work with World Trade Center Health Program to Support Member Coverage through Cost Containment Services
February 03 2021 - 7:00AM
HMS (NASDAQ: HMSY), the leading provider of payment accuracy and
population health management solutions, has expanded its
partnership with the World Trade Center (WTC) Health Program for
payment accuracy services.
Having helped the WTC Health Program recover
more than $31 million by ensuring workers' compensation pays
eligible medical claims first, HMS’ proven success supporting the
Program led the company to secure a new contract award to continue
to support it through July 2026. As of July 2020, the expanded
scope of work includes HMS’ payment accuracy services to ensure all
members impacted by the tragic 9/11 events continue getting the
support they need.
The WTC Health Program provides medical
monitoring and treatment for more than 105,000 responders and
survivors whose health was affected at the World Trade Center and
related sites in New York City, the Pentagon and Shanksville,
Pennsylvania. Since 2001, the WTC Health Program has helped
thousands of those affected on or after 9/11 get the care they need
and deserve. HMS’ payment accuracy solutions will ensure the
sustainability of the Program and its mission to care for our
heroes and survivors.
This WTC Health Program contract award supports
the establishment of a comprehensive cost avoidance, coordination
of benefit, and recovery program, including both pre- and
post-payment processes to improve efficiency and cost control. HMS’
suite of payment accuracy and cost containment solutions will
facilitate more accurate and efficient payment processes.
“Controlling costs without compromising care
quality is crucial to continue providing coverage for those whose
health was forever changed by the attack on 9/11,” said Bill Lucia,
chairman and CEO for HMS. “This patient population is uniquely
complex, and HMS’ solutions will help ensure the Program operates
efficiently to ensure those suffering from chronic health issues
like respiratory disease and cancer are taken care of.”
HMS’ suite of payment accuracy solutions
includes Coordination of Benefits for Commercial Insurance Billing,
Workers’ Compensation Recovery, and Identification of Deceased
Members, as well as, Payment Integrity for Clinical Claims Review,
Payment Analytics and FraudCapture™ to meet the objectives of its
comprehensive cost avoidance program.
The objectives for long-term success include
identifying primary health insurance, managing coordination of
benefits, recouping incorrectly paid claims from private insurance
and New York State (NYS) Workers’ Compensation Board (WCB) insurers
through its Health Insurance Matching Program (HIMP), identifying
deceased members, and providing quality assurance payment integrity
services.
About HMSHMS advances
healthcare by helping 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 payment accuracy and population health management solutions that
help move the healthcare system forward. Visit us
at www.hms.com or follow us on LinkedIn
and Twitter.
Media Contact Lacey Hautzinger
Senior Director, Corporate Marketing
469.284.7240lacey.hautzinger@hms.com
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