MHK

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.

02/14/2026

In healthcare, relationships are built on trust, clarity, and care. Supporting health plans and PBMs includes enabling them to confidently streamline repetitive processes with technology so they can focus on what matters most: helping the members they serve.

02/13/2026

In 10 days, VIVE 2026 kicks off in Los Angeles. MHK will be onsite February 23–25, sharing how intelligent intake helps reduce administrative burden and free up teams to focus on what matters most—member care. Join us on the show floor: BOOTH -1344

02/11/2026

After years of investigation and debate, Congress has passed PBM reform legislation. The result is a reshaping of transparency, oversight, and accountability across PBMs and health plans alike. Here’s what the new legislation changes and what it means operationally: https://hubs.li/Q042zF2L0

02/10/2026

CMS oversight has shifted from point-in-time audits to continuous expectations around timeliness, documentation integrity, and defensible workflows. Compliance is now about maintaining operational discipline at scale, every day and without exception. Discover what it takes and how leading plans are adapting in today’s Strategic Insights: https://hubs.li/Q042w6S60

02/04/2026

Today is World Cancer Day.

Cancer affects people in deeply personal ways, and no two journeys are the same. Supporting those impacted by cancer means helping ensure care teams have what they need to act thoughtfully, compassionately, and without unnecessary delay—especially when every moment matters.

Today, we stand with everyone affected by cancer.

02/03/2026

AI in healthcare isn’t merely about automation. It’s about trust and compliance.

In today’s Medicare Advantage environment, plans must ensure that AI is transparent, explainable, and aligned with regulatory expectations. Compliance-first AI isn’t a nice-to-have technology, it’s the foundation for responsible innovation that supports clinical judgment, audit readiness, and equitable outcomes.

Read more about why building compliance into AI architecture matters: https://hubs.li/Q041Cn310

02/03/2026

Excited to announce that MHK will be exhibiting at VIVE in Los Angeles, February 23–25.

VIVE brings together healthcare leaders focused on operations, innovation, and the future of care delivery—and we’re looking forward to connecting with peers across the industry. If you’ll be there, stop by BOOTH -1344 to say hello.

02/02/2026

February is American Heart Month, highlighting the importance of taking action early to support heart health. Routine checkups, a balanced diet, and regular physical activity can help reduce risk and prevent more serious complications over time.

01/27/2026

Payer workflows are still dominated by unstructured documents—faxed records, scanned attachments, and provider notes that require manual review before any decision can be made. AI-powered document processing helps health plans reduce this administrative burden by transforming unstructured information into usable data. The result? Faster, more consistent decisions across utilization management, care management, pharmacy, and appeals & grievances.

In this week's Strategic Insights, we explore how this approach improves efficiency without replacing human judgment, and why transparency and oversight matter as AI becomes more embedded in payer operations.

Read the full article: https://hubs.li/Q040qr-60

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

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:

Shortcuts

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.