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Medicaid

Deliver Commercial / Exchange Programs with a Focus on Quality

MedHOK’s unique ability to bring medical and pharmaceutical plan administration components together into a single seamless system enables commercial plans to deliver the highest quality and most efficient service. MedHOK’s Unified Payer Platform was built from the ground up to be ARISA, Exchange and State regulatory commercial complaint. Our built-in quality engines combined with our structured workflows and real-time reporting capabilities, has established MedHOK as the preeminent platform to many of the nations’ largest commercial health plans.

MedHOK’s Unified Payer Platform is the platform of choice for commercial coverage plans, including self-funded ARISA, small group, large group and exchange based health plans. MedHOK brings a vast amount of experience in enabling commercial and exchange-based solutions for some of the nations’ top rated health plans. Our sophisticated utilization management engine allows for the authorization and determination process across the complete hierarchy of service including Line of Business (LOB), Plan, Product and down to the client level.

Value point headline

Value point headline

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Value point headline

Value point headline

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Value point headline

Value point headline

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MedHOK enables PBMs to operate patient-specific clinical programs that improve patient adherence and clinical outcomes.

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