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Health Management Systems (HMS) specializes in squeezing pennies for Uncle Sam's health insurers. Health Management Systems company supplies information management services and software used by government health agencies and government-sponsored managed care firms to recover money from health care providers that were either overpaid or paid in error. The company's services include retroactive insurance claims reprocessing and third-party liability recovery, as well as pharmacy recovery services for the overpayment of pharmaceuticals. HMS operates nationwide out of more than two-dozen regional offices. Health Management Systems is a subsidiary of HMS Holdings Corp.

Health Net Federal Services provides health insurance and related services to some 3 million US military personnel and their families via the military's TRICARE program. TRICARE is the result of 1988 legislation known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). Health Net Federal Services serves TRICARE's north region, which covers about 25 states (and the District of Columbia) in the Northeast, New England, Mid-Atlantic, and Midwest regions. Health Net Federal Services also provides Veterans Affairs services including preferred pricing, claims validation, and outpatient clinic contracting. The company is a subsidiary of US insurance firm Health Net.

Health New England provides medical coverage to about 100,000 members in Western and Central Massachusetts. It sells its plans, including HMO and PPO offerings, to some 5,000 employers and directly to individuals and families. Among its offerings are low-cost plans in line with Massachusetts' health care reform law, passed in 2006, as well as private Medicare Advantage plans for seniors. For employers, it provides coverage on either a fully insured or administrative services only (ASO) basis. Health New England is a majority-owned subsidiary of Baystate Health System.

Health Plan of Nevada, a subsidiary of UnitedHealth, is a Nevada health maintenance organization (HMO) offering health care coverage to the state's residents. Its offerings include various HMO and point-of-service (POS) plans, as well as prescription drug coverage. It also gives members access to its affiliated multi-specialty medical group, Southwest Medical Associates, and other health care and wellness services. Established in 1982, Health Plan of Nevada offers plans through employer groups as well as to individuals. It sells its Senior Dimensions HMO plans to Medicare beneficiaries.

HealthAmerica Pennsylvania is doing its part. HealthAmerica Pennsylvania, a subsidiary of Coventry Health , provides health insurance products and related services to more than 700,000 members in Pennsylvania and Ohio. The company offers HMO and PPO benefit plans to small, medium, and large businesses under the HealthAmerica and HealthAssurance brands. Its provider network includes more than 21,000 providers and about 170 hospitals. HealthAmerica Pennsylvania was founded in 1975 and acquired by Coventry Health in 1988.

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