Company Description
HMS, a pillar in the healthcare sector, is renowned for its commitment to reducing costs and enhancing health outcomes through advanced technology, analytics, and engagement solutions. HMS provides a wide array of payment accuracy and population health management solutions, positioning itself as a crucial player in modernizing the healthcare system. By leveraging its industry-leading technology, HMS helps organizations save billions of dollars annually, aiding consumers in leading healthier lives.
Recent achievements underscore HMS's forward momentum. The company’s latest endeavor involves the acquisition of SourcEdge by Alivia, an AI-based healthcare payment integrity platform. This strategic move is set to empower healthcare payers with a comprehensive claims solution, merging expert professional services with specialized healthcare technology. This acquisition brings a new dimension to HMS's capabilities in claims management, enhancing operational efficiency and financial returns for its clients.
Alivia and SourcEdge's combined forces now provide end-to-end claims solutions that integrate pre-pay and post-pay reviews, fraud detection, and payment integrity management. This alignment exemplifies the synergy between advanced AI technology and expert services, aiming to improve affordability and tackle healthcare challenges head-on. The transaction, backed by private equity firms Council Capital and Health Enterprise Partners (HEP), is a testament to the growing confidence in HMS's vision and strategic initiatives.
The newly formed entity under the Alivia brand will integrate SourcEdge's expertise in claims modernization, value-based care strategies, and PHI security with Alivia’s robust SaaS platform. This combination is expected to streamline claim systems and foster better financial and operational outcomes for health plans.
HMS continues to play a vital role in the healthcare landscape, demonstrating its commitment to its mission through continuous innovation and strategic partnerships. The focus remains on providing top-notch solutions that enhance the efficiency of healthcare delivery, ultimately benefiting patients, providers, and payers alike.
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No SEC filings available for HMS Holdings.