SOURCE: MedHOK

MedHOK

June 23, 2015 09:35 ET

First Medical Health Plan Selects MedHOK's Single Platform for Care, Quality and Compliance

TAMPA, FL--(Marketwired - Jun 23, 2015) - MedHOK™, an industry-leading compliance platform for government-sponsored programs and other risk-bearing health entities, announced today that First Medical Health Plan, a leading healthcare provider for the working community in Puerto Rico, has selected to deploy the MedHOK comprehensive platform to enhance patient care and improve processes related to member management.

First Medical is the only health plan in Puerto Rico with a network of affiliated hospitals, medical services, health centers and pharmacies where subscribers can economize deductible services, oftentimes at no cost. The MedHOK platform integration will provide First Medical with a complete solution for clinical management and a structured and compliant workflow to meet all quality performance mandates required by the Centers for Medicare and Medicaid Services (CMS).

"The successful management of patient populations requires that health plans maintain and unify member data from all sources," said Francisco J. Artau-Feliciano, president, First Medical Health Plan. "MedHOK's software will allow us to enhance current processes by improving and streamlining beneficiaries and provider interactions and providing the comprehensive information we need to manage the influx of new business."

Headquartered in San Juan, Puerto Rico, First Medical Health Plan is dedicated to improving the working community's quality of life through the planning and implementation of covered medical services of the highest quality at a reasonable cost. As a result of monumental growth in the Medicaid market in Puerto Rico and an exponential growth in business, First Medical has chosen to implement MedHOK's comprehensive cloud-based platform across all lines of business.

MedHOK offers a unique integrated system that enables real-time, roles-based access to patient information across the care continuum. The platform creates actionable information that can be leveraged to proactively close care gaps, comply with federal and state regulations, enhance care management, and improve Star, HEDIS® and other quality scores.

"For a rapidly growing health plan like First Medical, selecting a solution that is easily scalable and rapidly deployed is key to success," said Anil Kottoor, president and CEO, MedHOK. "Our platform provides First Medical with ready access to the information it needs to successfully achieve its goals related to care, quality, and compliance in a growing market."

MedHOK's innovative software-as-a-service (SaaS) model delivers rapid platform implementation, enhancements, and lower upfront costs to its customers to keep pace in a continuously evolving regulatory environment. Its singular focus on technological excellence and superior customer service and support has enabled MedHOK to achieve outstanding growth, as evidenced by its ranking as the 25th fastest-growing private company and the sixth fastest-growing healthcare company on the Inc. 500/5000 List.

About First Medical Health Plan
First Medical Health Plan is a leader in the Healthcare Industry in Puerto Rico with a history of quality service to the Puerto Rican Community for the last 38 years. First Medical is authorized under the PR Commissioner of Insurance as an HMO. With a solid market penetration in the Commercial Line of Business, First Medical is currently ranked 2nd in the Puerto Rico's Top 400 Locally Owned Companies. First Medical was recently awarded by the Puerto Rico's Government Health Insurance Administration with two Geographical Regions to serve more than 320,000 new members from the Government Health Plan which includes mixed population including not only the Medicaid and CHIP populations, but also other eligible individuals as established by the local Government.

About MedHOK
MedHOK™ -- Medical House of Knowledge -- provides government-sponsored health plans and other risk-bearing entities with a comprehensive clinical, quality and compliance platform that is NCQA-certified in HEDIS®, Pay for Performance and Disease Management performance measures. Pre-configured with state and federal rules and processes to mitigate compliance and clinical risk, MedHOK's single platform for care, quality and compliance drives improved clinical outcomes and quality scores by eliminating information silos and enabling real-time access to a complete patient profile. It facilitates data aggregation to reduce compliance risk associated with enrollment, medical and pharmacy management services -- all delivered via an innovative software-as-a-service (SaaS) model that enables rapid deployment, high scalability and lower upfront costs. Additionally, MedHOK provides sales processing and management, plan enrollment processing and management, and CMS enrollment submission and processing, as well as premium billing, member services, and Medicare and plan financial reconciliation.