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Magellan Health Selects HMS for National Fraud, Waste, and Abuse Services and Coordination of Benefit Solutions for Magellan Complete Care of Florida

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HMS, a wholly owned subsidiary of HMS Holdings Corp. (NASDAQ:HMSY) , announced today that Magellan Health, Inc. (NASDAQ:MGLN) has selected HMS for cost containment solutions, including fraud, waste, and abuse detection and prevention across the company, as well as for insurance verification and subrogation services for Magellan Complete Care of Florida, a Medicaid specialty plan for individuals with serious mental illness.

“HMS values the opportunity to work with Magellan Health to implement a flexible solution that effectively identifies fraud, waste, and abuse and eliminates overpayments,” said Doug Williams, president of commercial solutions for HMS. “We look forward to supporting Magellan’s goals by reducing their risk and increasing the value of the healthcare services they deliver.”

“We selected HMS to further enhance our fraud, waste, and abuse detection and prevention work across our company to help ensure the highest level of customer service and fiscal responsibility on behalf of our customers and members,” said Victor Haddock, senior vice president of internal audit and special investigations unit at Magellan Health. “In addition, HMS will perform insurance verification and subrogation services on behalf of Magellan Complete Care of Florida, which will ensure that the company is judiciously paying claims, while upholding program integrity.”

About HMS

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 45 states; commercial payers, including group health plans, Medicare Advantage Plans, more than 150 Medicaid managed care plans, and employers; the Centers for Medicare and Medicaid Services; and Veterans Administration facilities. As a result of the company’s services, clients recovered over $3 billion in 2013, and saved billions more through the prevention of erroneous payments.

About Magellan Health: Headquartered in Scottsdale, Ariz., Magellan Health, Inc. is a healthcare management company that focuses on fast-growing, complex and high-cost areas of healthcare, with an emphasis on special population management. Magellan delivers innovative solutions to improve quality outcomes and optimize the cost of care for those we serve. Magellan’s customers include health plans, managed care organizations, insurance companies, employers, labor unions, various military and government agencies, third party administrators, consultants and brokers. For more information, visit

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