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Highlights: HM Health Solutions

WE ARE PROUD TO SHARE THESE 2019 STORIES:

Mark Sobieski, Tracy Mueller, and Brett Huberman

Simplifying online payment for direct-pay members

Scott Livingston

HMHS' Scott Livingston shares his leadership journey with CIO Digital Magazine

Overview

Headquartered in Pittsburgh, Pennsylvania, HM Health Solutions (HMHS), a wholly owned subsidiary of Highmark Health, delivers solutions to health plan payers to administer business more efficiently and effectively in a competitive and ever-changing market. HMHS' product is the Enterprise Health Solution Platform.

In 2019, HMHS provided services to 13 health plans and served more than 10 million members. Health plans already using the Enterprise Health Solution include Highmark Health Plans in three states, AmeriHealth, AmeriHealth New Jersey, a leading health insurance company in the Philadelphia region, and other health plans that serve members in various states, including Minnesota, North Dakota, and Wyoming. The Enterprise Health Solution supports every health care line of business. This allows health plan customers to use one platform for all lines of business, saving costs as well as opening the door to markets that may have previously gone untapped.

Of the many initiatives HMHS completed for its customers, one that stands out in 2019 was with a health insurance company in the Philadelphia region. The health plan's goal was to simplify online payment for health plan members, and HMHS helped them do that in a short period of time.

 

HM Health Solutions (HMHS) serviced more than 10 million members of separate health plans via the Enterprise Health Solution.

HMHS supports all lines of health care business: national, large/small group, individual, ACA, Medicaid, and Medicare Advantage.

In 2019, HMHS' first claim acceptance rate for health plan customers averaged 90%, exceeding the national average.


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