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Commercial & Payer

Enabling quality care and cost containment.

A man and a woman look at a laptop in an office setting

Simplifying the complex; driving value.

Commercial healthcare organizations often balance many competing priorities — controlling costs and maintaining high standards of care while navigating constant regulatory change.

With decades of experience helping plans and programs with cost containment and care quality solutions that drive value across the healthcare continuum, HMS, a Gainwell Technologies company, is a trusted partner to organizations looking to maximize efficiency today and operate sustainably over the long-term.

175+

Commercial Payers Supported with Cost Containment & Care Quality Services

43+ Million

Lives Currently Under Contract

$9.9 Billion

Savings & Recoveries for Our Clients

Coordination of Benefits

Providing comprehensive and innovative third-party liability solutions.

Payment Integrity

Helping plans avoid and recover improper payments while detecting and preventing fraud.

Care Quality

Enabling quality care and affordability with strategies that balance empathy and efficiency.

Actionable insights that
empower healthcare progress.

We’re passionate about delivering ideas that can help shape the future of
healthcare, using education and transparency to improve health outcomes for all.

How can we support you?

Start the conversation today.