Archive for the ‘News’ Category

Court Sides with Health Plan in Dependent Eligibility Lawsuit

Posted on: March 13th, 2012 by hmshealthcare

Recently, a Ford Motor Company employee sued Ford for removing his dependents from the company’s health plan. A federal court in Michigan ruled in favor of Ford, citing its right to perform document-based dependent eligibility audits and remove ineligible or unverified dependents. Read more on DependentCheck.com.   


Proposed 2013 Budget Includes New Healthcare Funding & Cuts

Posted on: March 7th, 2012 by hmshealthcare

President Obama recently released his proposed FY2013 budget, which outlines his fiscal goals for the United States. In the budget, the President proposes to cut healthcare spending by $360 billion over the next decade, with $300 billion coming out of Medicare through reduced payments to healthcare providers. Despite these cuts, the budget still proposes to allocate the Department of Health and Human Services (HHS) nearly $950 billion in FY2013, with almost $500 billion proposed for the Center for Medicare and Medicaid Services (CMS) alone.


School Administrator Magazine Features Dependent Eligibility Article by HMS

Posted on: February 9th, 2012 by hmshealthcare

An article by Rich Flaherty, Vice President of Business Development for HMS, recently appeared in the American Association of School Administrators’ School Administrator magazine. Read more here.


Nearly Nine Percent of U.S. Healthcare Budget Lost to Fraud Annually

Posted on: January 19th, 2012 by hmshealthcare

The U.S. spends more than $2 trillion on healthcare annually, and every year between $600 and $800 billion of that money is lost to fraud, waste, and abuse. Fraud accounts for 19 percent of the $600 to $800 billion in misspent funds, which amounts to between $125 billion and $175 billion annually. (Source: Thomson Reuters, 2009)