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.

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.

11/17/2025

Throughout November we honor the extraordinary clinicians, caregivers, and support teams who provide comfort, dignity, and compassionate guidance to patients and families during some of life’s most challenging moments. Their work is essential—bringing humanity, clarity, and connection to the end-of-life journey.

MHK remains committed to helping health plans strengthen care coordination and support whole-person care across the continuum. Hospice and palliative care professionals play a vital role in that mission, and we are grateful for their dedication.

Thank you for all you do.

11/14/2025

On World Diabetes Day, we honor the dedication of clinicians, care managers, and partners working to enhance care for those living with diabetes. Your commitment drives better health outcomes and supports our mission of improving member well-being. How is your organization making a difference in diabetes care? Share your experiences below!

11/11/2025

November is Alzheimer’s Disease Awareness Month, a time to remember the individuals, families, caregivers, and clinicians impacted by Alzheimer’s, and to recognize the importance of early detection, compassionate support, and coordinated care.

Thank you to everyone dedicated to improving quality of life for those facing cognitive decline.

11/10/2025

Every day, from rural clinics to urban hospitals, nurse practitioners are leading the way in delivering high-quality, patient-centered care. Please join us in celebrating National Nurse Practitioner Week, a time to honor their expertise and dedication, and the impact their contributions make on communities everywhere.

11/06/2025

Registration is now open for the 2026 MHK Client Summit!

We’re excited to welcome our valued MHK clients to The Vinoy Resort & Golf Club in St. Petersburg, Florida, April 6–8, 2026.

This client-exclusive event brings together healthcare leaders, innovators, and partners from across the MHK community. The 2026 theme—Ignite Ideas. Inspire Action. Shape the Future.—captures the collaboration and forward thinking that drive our shared success.

Throughout the Summit, attendees will explore transformative technologies, exchange insights, and help shape the future of managed care.

Learn more and register today to access early-bird discounts: https://hubs.li/Q03R-Fyj0

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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.