"Ultimately, we endorsed Dependent Eligibility Audit services from HMS because of its vast experience in the health care market and its employee-sensitive approach," Anthony Burke, President and CEO, AHA Solutions, Inc.
Chicago, IL (PRWEB) December 12, 2011
The American Hospital Association (AHA) today announced it has exclusively endorsed Dependent Eligibility Audit services from the Employer Solutions group of HMS (“HMS Employer Solutions”), a wholly owned subsidiary of HMS Holdings Corp. AHA Solutions, Inc., a subsidiary of the AHA, awards the AHA endorsement to products and services that help member hospitals and health care organizations achieve operational excellence. The Dependent Eligibility Audit services from HMS were selected for this exclusive endorsement following an extensive due diligence process.
As with all employers, hospitals will soon implement a number of policies as a result of the health care reform law, including new reporting requirements within the new state- and federally-run health insurance exchanges. The law also requires employers to develop new administrative processes and to allow dependents up to age 26 years to participate in employees’ health plans. On average, four to eight percent of dependents on an employer’s health insurance plan—and an even larger percentage for hospital employers—are not eligible for coverage. For a self-insured employer, this represents a significant unnecessary claim expense.
Dependent Eligibility Audit services from HMS assist hospitals to ensure that only eligible individuals are on the hospital’s health plan. Hospitals seeking innovative ways to contain costs while providing coverage to employees and eligible dependents will benefit from a guaranteed return on investment from HMS services.
“As hospitals work to implement the policies of the health reform law, it is imperative that they balance the ability to attract and retain the best talent, while ensuring their money is being spent appropriately,” said Anthony Burke, President and CEO, AHA Solutions, Inc. “We explored a number of candidates that offer dependent eligibility audit services. Ultimately, we endorsed Dependent Eligibility Audit services from HMS because of its vast experience in the health care market and its employee-sensitive approach. The HMS system allows employer hospitals to ensure benefits are being spent on qualified dependents.”
“HMS is proud to have been selected as an exclusive AHA partner,” said Maria Perrin, Chief Business Officer for HMS. “This endorsement speaks to HMS’s track record of success with employers across many industries, including hospitals. We look forward to working collaboratively with AHA members to help them achieve their cost-containment goals and ensure compliance with new and existing regulations.”
About the AHA
The American Hospital Association is a not-for-profit association of health care provider organizations and individuals committed to the health improvement of their communities. The AHA is the national advocate for its members, which includes nearly 5,000 hospitals and health care systems, networks, and other providers of care and 42,000 individuals. Founded in 1898, the AHA provides education for health care leaders and is a source of information on health care issues and trends. For more information, visit http://www.aha.org.
About AHA Solutions
AHA Solutions, Inc. is a resource to hospitals pursuing operational excellence. As an American Hospital Association (AHA) member service, AHA Solutions collaborates with hospital leaders and market consultants to conduct the proprietary AHA Signature Due Diligence Process™ and identify solutions to hospital challenges in the areas of care continuum, cultural transformation, clinical integration and financial sustainability. AHA Solutions provides related marketplace analytics and education to support product decision-making. As a subsidiary of the American Hospital Association (AHA), the organization convenes people with like interests for knowledge sharing centered on timely information and research. AHA Solutions is proud to reinvest its profits in the AHA mission: creating healthier communities. For more information, contact AHA Solutions at 800.242.4677 or visit http://www.aha-solutions.org.
HMS, a wholly owned subsidiary of HMS Holdings Corp. (NASDAQ: HMSY), is the nation's leader in coordination of benefits and program integrity services for healthcare payers. HMS's clients include health and human services programs in more than 40 states; commercial programs, including commercial plans, employers, and over 120 Medicaid managed care plans; the Centers for Medicare and Medicaid Services (CMS); and Veterans Administration facilities. As a result of the company’s services, clients recovered over $1.8 billion in 2010, and saved billions of dollars more through prevention of erroneous payments. For more information on HMS Employer Solutions, please visit http://www.dependentcheck.com.