MHK Enterprise Software Platform for Medicare, Medicaid, and Exchanges

MedHOK solutions improve clinical outcomes, care management and quality measures, and links reimbursement to improved quality outcomes for accountable care organizations, patient centered medical homes, health plans, public sector agencies, providers, hospital systems and third party administrators.

01/20/2026

CMS utilization management requirements are tightening. As regulatory expectations rise, manual UM processes and poorly governed AI tools are becoming real compliance risks. The question for health plans isn’t whether to adapt, but how. We break down why AI is now a strategic must for utilization management—and what compliance-first adoption really looks like. https://hubs.li/Q03_yWfV0

01/19/2026

Today we honor the life and legacy of Dr. Martin Luther King Jr.

Dr. King reminded us that progress is not automatic—it requires courage, compassion, and a shared commitment to justice. His words and actions continue to challenge us to listen more deeply, act more fairly, and recognize the dignity of every person.

As we remember his legacy, may we recommit to building a society rooted in equality, understanding, and respect for all.

01/12/2026

It is now evident that AI is becoming essential to Utilization Management. Rising case volumes, staffing pressures, and increased regulatory scrutiny are driving rapid adoption across health plans and PBMs.

In our latest article, we break down how AI is improving triage, documentation review, clinical consistency, and operational efficiency — while keeping clinicians firmly in the decision-making seat. Ultimately, AI isn’t replacing reviewers; it’s empowering them. Read more here: https://hubs.li/Q03-fNzK0

12/30/2025

Happy New Year from all of us at MHK. Our offices will be closed on December 31 and January 1. Our Help Desk will remain open by email: HelpDesk@mhk.com or phone: 888.963.3465.

In 2026, we look forward to continuing our mission of simplifying healthcare through technology. Wishing you clarity, momentum and meaningful work in the year ahead.

12/22/2025

The holidays are a time to reflect — on where we’ve been, who we serve, and why the work matters.

All of us at MHK are grateful for the opportunity to partner with those advancing healthcare in meaningful ways.

Our offices will be closed December 24–25. Our Help Desk will remain open by email: HelpDesk@mhk.com or phone: 888.963.3465.

We wish you and yours a safe and joyful season.

12/15/2025

On December 10, the MHK team gathered at the iconic Columbia Restaurant in Tampa for our annual holiday celebration — and it was a night to remember!

We enjoyed a fantastic dinner, lots of laughs, a fiercely competitive Ugly Sweater Contest, and a round of holiday games that brought out everyone’s festive spirit.

Moments like these remind us how lucky we are to work alongside such dedicated, talented, and fun teammates. Here’s to a joyful holiday season and an amazing year ahead!

12/04/2025

National Influenza Vaccination Week (Dec. 1–5) serves as an annual reminder that early, coordinated outreach can help reduce preventable illness, lower avoidable utilization, and support healthier member populations. Health plans and PBMs play a vital role in closing vaccination gaps through targeted communication, data-driven outreach, and member-friendly care pathway. MHK proudly supports our clients in delivering safer, more connected care throughout the flu season and beyond.

Today, MHK officially launches SmartProminence® — our natively built AI Solution Suite designed to transform how health ...
12/03/2025

Today, MHK officially launches SmartProminence® — our natively built AI Solution Suite designed to transform how health plans and PBMs operate.

Healthcare teams are under more pressure than ever. Administrative burden is rising. Regulations are tightening. Member expectations are increasing.

SmartProminence changes the game.
With AI-powered fax intake, intelligent routing, real-time analytics, and compliance-ready guardrails, organizations can:
✔ Reduce manual work
✔ Accelerate case resolution
✔ Strengthen compliance readiness
✔ Improve member outcomes

This is a major milestone in our mission to simplify healthcare through technology—and we’re just getting started.

Read the full press release and see what SmartProminence means for the future of payer operations. https://hubs.li/Q03WDCNy0

12/02/2025

December 1 marks World AIDS Day 2025 — a moment to honor those we’ve lost, support those living with HIV, and recommit to advancing equitable access to care.

For health plans, this day is more than remembrance. It’s a reminder of the profound role our industry plays in ensuring timely access to treatment, reducing disparities, and supporting whole-person health. From medication adherence to stigma reduction, every touchpoint in the member journey matters.

MHK remains committed to helping plans deliver high-quality, person-centered care through technology that supports better coordination, stronger compliance, and more equitable outcomes. Today and every day, we recognize the resilience of the HIV community and the ongoing work needed to achieve health equity for all.

11/26/2025

reminds us that even in complex times, there’s always something to be grateful for.

The MHK team is grateful for those who care deeply, build boldly and lead with empathy — in healthcare and beyond. Here’s to rest, reflection and renewed purpose.

Our offices will be closed November 27–28. Our Help Desk will remain open by email: HelpDesk@mhk.com or phone: 888.963.3465.

Happy Thanksgiving from all of us to you.

11/25/2025

Major CMS audit changes are coming in 2026:

• Audit scoring is being removed as well as ICAR and ORCA.
• A new pilot CPE approach.
• Complexity-based independent validation audits.
• And a longer audit window (Feb–Aug).

Plans that start preparing now will be in the best position to adapt.

MHK provides the integrated tools needed for universe accuracy, real-time visibility, and continuous audit readiness.

Read the full summary here: https://mhk.com/resource/blog/cms-announces-significant-process-changes-for-2026-program-audits/

11/19/2025

Today is World COPD Awareness Day, a global initiative dedicated to raising understanding of chronic obstructive pulmonary disease and supporting the millions of individuals living with this condition.

MHK is committed to helping health plans improve outcomes for members with chronic respiratory conditions through evidence-based care management, integrated data insights, and solutions that support early intervention and coordinated care.

COPD remains one of the leading causes of hospitalizations and reduced quality of life among older adults. By empowering care teams with actionable data and streamlined clinical workflows, we can help drive better member engagement, support adherence to treatment plans, and reduce avoidable complications.

Let’s continue working together to advance awareness, improve access to care, and support healthier lives.

Address

3031 N Rocky Point Drive W, 300
Tampa, FL
33607

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Website

Alerts

Be the first to know and let us send you an email when MHK posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to MHK:

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Our Story

SaaS-based technology that empowers health plans, PBMs, and provider organizations to improve productivity, automate processes, make more confident clinical and operational decisions, increase revenue, and meet the rigorous demands of federal, state, and commercial compliance.