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

First Medical Health Plan Selects MedHOK’s Single Platform For Care, Quality And Compliance

TAMPA, Fla. – June 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.

Marc Ryan

Marc S. Ryan serves as MedHOK’s Chief Strategy and Compliance Officer. During his career, Marc has served a number of health plans in executive-level regulatory, compliance, business development, and operations roles. He has launched and operated plans with Medicare, Medicaid, Commercial and Exchange lines of business. Marc was the Secretary of Policy and Management and State Budget Director of Connecticut, where he oversaw all aspects of state budgeting and management. In this role, Marc created the state’s Medicaid and SCHIP managed care programs and oversaw its state employee and retiree health plans. He also created the state’s long-term care continuum program. Marc was nominated by then HHS Secretary Tommy Thompson to serve on a panel of state program experts to advise CMS on aspects of Medicare Part D implementation. He also was nominated by Florida’s Medicaid Secretary to serve on the state’s Medicaid Reform advisory panel.

Marc graduated cum laude from the Edmund A. Walsh School of Foreign Service at Georgetown University with a Bachelor of Science in Foreign Service. He received a Master of Public Administration, specializing in local government management and managed healthcare, from the University of New Haven. He was inducted into Sigma Beta Delta, a national honor society for business, management, and administration.

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