Health Market Science Enhances its Prescriber MasterFile with State Medicaid Exclusions

Published: Tue Mar 01 2011


Health Market Science (HMS), a leading source for healthcare provider data and solutions, today announced the enhancement of its Prescriber MasterFile with the integration of state Medicaid exclusion information to improve the efforts of Pharmacy and PBM compliance programs. HMS is working closely with State Medicaid Agencies to ensure that each agency understands the implications of federal healthcare reform and the resulting regulations impacting federally funded programs and the providers that support these programs. According to the Office of the Inspector General (OIG), bases for exclusion include convictions for program-related fraud and patient abuse, licensing board actions, and default on Health Education Assistance Loans.

"The state Medicaid exclusions complement our existing HMS Sanctions product produced from OIG, State, and Federal sources for Prescribers and Pharmacists," commented Craig L. Ford, senior vice president of HMSís pharmacy segment, "this state level information will be of great benefit to our clients as they strive to address mounting compliance demands."

Part of the HMS Provider MasterFile and our suite of compliance solutions, the Prescriber MasterFile includes more than 1.4 million prescribers, demographic, licensure, status information, affiliations, and more than 1.3 million email addresses.

Health Market Science includes Medicaid exclusion data available from the following states:
Alabama Mississippi
Connecticut New Jersey
Idaho New York
Illinois Ohio
Kentucky Pennsylvania
Maryland South Carolina
Michigan Texas

States coming soon:
California
Florida
Maine
Nebraska


About Health Market Science

Founded in 1999, Health Market Science (HMS) is dedicated to providing the most accurate and trusted data solutions to the healthcare industry including pharmacy, pharmaceuticals, medical device manufacturers, health plans, health systems, pharmacy benefit managers and Health Information Exchanges. Our entire organization is focused on the quality of the solutions we deliver, which starts with a relentless pursuit of acquiring, analyzing and integrating more than 2,000 disparate data sources into our HMS Provider MasterFile. HMS has the experience, technology, people, and processes to deliver the most accurate, timely healthcare provider master file available in the market. With more than 130 employees, HMS uses innovative technology and domain expertise to help its clients comply with evolving federal and state based laws, reduce operational costs and maximize market opportunities. For more information visit healthmarketscience.com.
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