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The Time is Right for MedHOK

Recognized by Inc. magazine as the 25th fastest growing company in the U.S., MedHOK enables healthcare payers to ensure regulatory compliance and succeed in the emerging value-based reimbursement model. MedHOK has developed the industry’s only Unified Payer Platform, which brings medical and pharmacy across the continuum of care together to enable all major lines of business. Out-of-the-box compliant and proactively updated for Medicare, Medicaid, and Affordable Care Act regulations, MedHOK’s Unified Payer Platform is a compliance powerhouse.

MedHOK, an acronym for Medical House of Knowledge, was founded in 2010 on the concept that healthcare reimbursements would be tied to quality versus fee-for-service – a precursor to today’s value-based healthcare. The MedHOK Unified Payer platform is a powerful SaaS-based solution that facilitates transparency across the organization, removes information silos, and unifies and normalizes data across the enterprise to enable workflows based on industry best practices. With MedHOK, payers are able to improve productivity, automate processes, make more confident clinical decisions, and meet the rigorous demands of federal, state, and commercial compliance.

Our vision is rapidly becoming the industry standard, managing nearly 50 million lives. MedHOK’s customer base spans some of the most relevant players in healthcare, including prominent health plans, integrated delivery systems, pharmacy benefit managers, and specialty pharmacy providers. MedHOK is their trusted partner and advisor, helping them navigate and succeed with value-based healthcare.

Our Growth



    MedHOK founded



    MedHOK became one of two national vendors to have all three NCQA certifications



    Recapitalized by Bain Capital Ventures and Spectrum Equity



    Ranked #25 Fastest Growing Co on Inc. 500



    Acquired Continuum Performance Systems



    Hearst Health invests in majority share of MedHOK

Our Mission

MedHOK’s mission is to remove the complexity of today’s multiple, disparate healthcare management systems, and deliver a unified platform that enables healthcare payers to have total control. With a finger on the pulse of the industry, MedHOK is nimble and flexible, proactive and visionary, giving clients a competitive edge in a rapidly shifting industry. Most importantly, MedHOK is enabling healthcare payers to deliver high quality care while containing costs.


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