Health Management Systems

HMS (Health Management Systems) is a leading provider of cost containment and payment integrity solutions within the United States healthcare system. The company specializes in coordination of benefits, payment accuracy, and population health management services for healthcare payers, including state Medicaid agencies, commercial health plans, and federal government entities. By leveraging advanced data analytics and proprietary technology, HMS identifies and prevents improper payments and ensures that the correct party pays for healthcare claims. In 2021, the company was acquired by Gainwell Technologies, a portfolio company of Veritas Capital, to strengthen its position in the government-sponsored healthcare market.