|Exchange:||NASDAQ national market|
|Stock:||HMS Holdings Corporation|
|HMS Holdings Corporation was incorporated on October 2, 2002 in the state of New York. The Company provides cost containment services to government and private healthcare payers and sponsors. Its program integrity services ensure that healthcare claims are paid correctly, and its coordination of benefits services ensure that they are paid by the responsible party. Together, these services help clients recover amounts from liable third parties; prevent future improper payments; reduce fraud, waste and abuse; and ensure regulatory compliance. Its clients are the Centers for Medicare & Medicaid Services (CMS); state Medicaid agencies; commercial health plans, including Medicaid managed care, Medicare Advantage, and group health lines of business; government and private employers; Pharmacy Benefit Managers (PBMs); child support agencies; the Veterans Health Administration (VHA); and other healthcare payers and sponsors. As of December 31, 2012, the company served CMS, the VHA, 47 state Medicaid agencies and the District of Columbia. It also provided services to approximately 100 commercial clients and supported their multiple lines of business; including Medicaid managed care, Medicare Advantage, and group health. It focuses on four critical areas: Medicaid Expansion, Eligibility Verification, Program Integrity, and Employer-Sponsored Health Coverage. The Company’s services are applicable to the federal, state, and commercial health plan markets and address errors across the payment continuum, from an individual's enrollment in a program before any medical service is rendered, to pre-payment review of a claim by a payer, through recovery audit where discovery of an improper payment is made. The Company competes against clients who elect to perform recovery and cost avoidance functions in-house.|
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