Reviews sharpened at Boston Medical Center HP

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IRVING, USA: HMS Commercial Solutions, a part of HMS Holdings Corp. 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, HMS 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, an announcement added.

BMC HealthNet Plan is a non-profit managed care organization for 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 a Medicaid health plan in Massachusetts serving nearly 280,000 members across three product lines.