Enterprising healthcare  

State Dialogue


July 12, 2016




Payer Power


Who’s afraid of post-adjudication clinical claim review?


This first of a five-video series introduces the challenges of a review process – and possible solutions.




RAC Servers


HMS gives Medicaid agencies what they want: recoveries.


How did HMS become the No. 1 Medicaid Recovery Audit Contractor? (Hint: data analysis that extends to all claim types.)




Big Data Barriers


Break through with balance – and improve the healthcare system.


HMS Chief Medical Officer Gary Call, M.D., explores how payers can make the most of the era of big data.

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