Company profile: HMS
1.1 - Company Overview
Company description
- Provider of payment accuracy and population health management solutions using technology, analytics, and engagement to help healthcare payers, government programs, and at-risk organizations cut costs and improve health outcomes, saving billions of dollars annually. Offers HMS Federal Solutions for cost containment by recovering funds and avoiding unnecessary costs, and HMS 360 for a detailed view of financial savings and recovery data, including invoice details and recovery status.
Products and services
- Payment Accuracy Systems: HMS engineers analytics-driven payment accuracy systems saving billions by recovering funds and avoiding unnecessary costs for payers, government programs, and at-risk organizations
- HMS Federal Solutions: HMS Federal Solutions delivers federal-grade cost containment systems for government programs, recovering funds and avoiding unnecessary costs to save agencies money
- HMS 360: HMS 360 offers an analytics-powered application presenting detailed financial savings and recovery data, including invoice details and recovery status.
Key contacts
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Financial details
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1.2 - Competitors and similar companies to HMS
Confidio
HQ: United States
Website
- Description: Provider of technology-enabled pharmacy solutions for clients of all sizes across the entire pharmacy delivery spectrum.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
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- Total funding raised: $●●●m
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- Acquisitions: ●●
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Payer Compass
HQ: United States
Website
- Description: Provider of healthcare reimbursement technology and price transparency solutions, delivering cost containment services and tools including a rule-based payments engine (ZAPP), in-network pricing and contract modeling, out-of-network savings, reference-based pricing, payment integrity, and network solutions for self-insured employers, third-party administrators, and payers.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
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MedTranDirect
HQ: United States
Website
- Description: Provider of SaaS technology for processing and managing HIPAA-compliant healthcare transactions including eligibility, claims, and remittances. One of the first approved network services vendors, enabling direct access to Medicare's payment systems, serving clients in home health and hospice.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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MajorBoost
HQ: United States
Website
- Description: Provider of AI-powered automation for voice calls to reimagine communication between doctors’ offices and insurance companies. Solutions include conversational AI for AR, claims follow-up, prior authorizations, credentialing, eligibility, and patient calls; smart member outreach; adaptive workflow automation; and data integration via APIs or secure uploads with a Customer Success Manager.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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Cotiviti
HQ: United States
Website
- Description: Provider of analytics-driven payment accuracy and insight solutions for healthcare payers and retailers, reducing medical and administrative costs across the payment lifecycle. Offers risk adjustment, quality and performance analytics, consumer engagement, retail supplier audit reviews, contract compliance and overpayment recovery, and medical intelligence to inform risk management and improve healthcare utilization and outcomes.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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2.M&A buyers
2.1 Potential strategic acquirers in the sector
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2.2 - Strategic buyer groups for HMS
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Buyer group 2: ████████ ████████
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Buyer group 3: ████████ ████████
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3. Investors and private equity firms
3.1 - Buyout funds investing in similar companies to HMS
2.2 - Growth funds investing in similar companies to HMS
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4 - Top valuation comps for HMS
4.2 - Public trading comparable groups for HMS
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