Special Report

100 Best Small Companies in America

 

  • Revenue: $364 million
  • Market Cap: $3 billion
  • CEO: Lucia, William
  • Industry: Healthcare Providers and Services
  • Headquarters: New York, New York
  • Year Founded: 1974
  • Ticker: HMSY (get quote)

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HMS Holdings Corp. provides cost containment services to government and private healthcare payers and sponsors. The company’s services include coordination of benefits and program integrity services. Its coordination of benefits services provide cost avoidance services that offer validated insurance coverage information, which is used by government-sponsored payers to coordinate benefits for incoming claims; and program integrity services identify improper payments on a pre-payment and post-payment basis, recover overpayments, detect and prevent fraud and abuse, and identify process improvements. The company also offers audit programs, program design, benefit management, and general and pharmacy systems consulting services. It serves state Medicaid agencies, the centers for Medicare and Medicaid services, Medicaid and Medicare managed care plans, government and private employers, pharmacy benefit managers, child support agencies, the Veterans Health Administration, commercial plans, and healthcare payors. HMS Holdings Corp. was founded in 1974 and is headquartered in New York, New York.

HMS Holdings Corp