Boston Medical Center HealthNet Plan Awards Fraud, Waste, and Abuse Contract to HMS
<0> HMSMedia Relations:Francesca Marraro, 212-857-5442 </0>
HMS Commercial Solutions, a part of HMS Holdings Corp. (NASDAQ:HMSY), announced today that it has been awarded a contract by Boston Medical Center Health Plan, Inc. (BMCHP) in Massachusetts to provide comprehensive fraud, waste, and abuse services, including retrospective and pre-payment reviews.
“The detection and prevention of fraud, waste, and abuse is a paramount concern for Medicaid health plans,” said Ronald Singh, Executive Vice President. “HMS looks forward to working with BMCHP to implement a scalable and flexible solution to enhance the Plan’s program integrity efforts and reduce improper spending.”
HMS has provided services to BMCHP since 2007, delivering more than $40 million in savings during that time.
(NASDAQ: HMSY), through its subsidiaries, is the nation's leader in and services for healthcare payers. 's clients in more than 40 states; , including commercial plans, , and over 150 ; the Centers for Medicare and Services (CMS); and . As a result of the company's services, clients recovered over $3.2 billion in 2012, and saved billions more through the prevention of erroneous payments.
BMC HealthNet Plan is a non-profit managed care organization committed to providing the highest quality healthcare coverage to underserved populations. In Massachusetts, BMC HealthNet Plan is the business name for Boston Medical Center Health Plan, Inc.; outside Massachusetts, Well Sense Health Plan is the business name. BMC HealthNet Plan is the largest Medicaid health plan in Massachusetts serving nearly 280,000 members across three product lines. It is ranked in the top 10 among Medicaid plans in the nation according to the National Committee for Quality Assurance (NCQA) Medicaid Health Insurance Plan Rankings, 2013-2014. BMC HealthNet Plan has also continued to earn Excellent Accreditation from NCQA for its Medicaid plan since 2009. In 2012, Well Sense Health Plan was selected by the New Hampshire Department of Health and Human Services to be one of three health coverage providers – and the only non-profit – to offer managed care coverage for the first time to that state’s Medicaid recipients.
Statements in this press release that are not strictly historical, including statements relating to future actions, business plans, objects and prospects, and future operating or financial performance, or any other statements regarding events or developments that we believe or anticipate will or may occur in the future, are “forward-looking statements” within meaning of the U.S. Private Securities Litigation Reform Act of 1995. These forward-looking statements are based on current expectations, estimates, assumptions and projections that are subject to change. Should known or unknown risks or uncertainties materialize, or should underlying assumptions prove inaccurate, our actual results could differ materially from past results and those anticipated, estimated or projected. We caution you therefore against relying on any of these forward-looking statements. A description of the factors that could cause or contribute to such differences and other risks, uncertainties, and related matters can be found in our Annual Report on Form 10-K for the fiscal year ended December 31, 2012, which is available at under the “Investor Relations” tab. Any forward-looking statements are made as of the date of this press release and the Company does not undertake to update any forward-looking statements to conform these statements to actual results or revised expectations.