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.

New Medicaid community engagement requirements are a reminder that regulatory changes rarely stop at compliance.They cre...
06/08/2026

New Medicaid community engagement requirements are a reminder that regulatory changes rarely stop at compliance.

They create new verification processes, new member communications, additional appeals activity, and expanded reporting obligations.

Whether the challenge involves Medicaid eligibility, prior authorization, CMS audits, or quality reporting, health plans continue to face growing operational demands.

How is your organization preparing to manage increasing complexity while maintaining efficiency and member experience?

🌈 This Pride Month, we celebrate the LGBTQ+ community and the unique perspectives, experiences, and contributions that h...
06/08/2026

🌈 This Pride Month, we celebrate the LGBTQ+ community and the unique perspectives, experiences, and contributions that help make our workplaces and communities stronger.

At MHK, we believe that fostering a culture of belonging isn't just good for our employees—it's essential to building better healthcare experiences for our customers and the members they serve. By creating an environment where people feel respected, valued, and empowered to be themselves, we strengthen our ability to serve the diverse communities that healthcare touches every day.

As part of Hearst Health, we're proud to recognize Pride Month and reaffirm our commitment to inclusion, respect, and health equity for all.

Happy Pride Month. ❤️🧡💛💚💙💜

06/04/2026

For many Medicare Advantage plans, the challenge isn't growth, it's effective management of the operational complexity that accompanies growth.

Enrollment changes. requirements evolve. Billing and reconciliation processes become more demanding. Small discrepancies can create downstream administrative burden, compliance risk, and revenue impacts.

That's why leading health plans rely on MarketProminence.

Purpose-built for Medicare Advantage, MarketProminence helps plans automate enrollment, billing, financial reconciliation, and compliance workflows while maintaining visibility across the member lifecycle.

The result?

Less time spent managing complexity and more time focused on serving members. How is your organization balancing operational efficiency with growing regulatory demands?

06/04/2026

Electronic prior authorization is often discussed as a technology challenge, but many organizations are still struggling with a more fundamental issue: intake.

Requests continue to arrive through multiple channels, in multiple formats, with varying levels of completeness. Before automation, AI, or clinical review can begin, organizations must first identify, validate, route, and manage incoming information efficiently.

In this week's Strategic Insights, we explore why fragmented intake remains one of the biggest obstacles to prior authorization efficiency—and how orchestration strategies can help health plans and PBMs create more connected, transparent workflows.

See link to article in comments.

05/29/2026

Health plans don’t increase connectivity simply by adding more technology.

More tools, systems, and processes rarely result in more clarity. Too often, they create complexity that impacts teams, providers, and, ultimately, the member experience.

Real transformation starts when work flows more intelligently across health plan operations. MHK helps connect the workflows, data, and decisions that move healthcare forward. Discover what we can do for you: https://hubs.ly/Q04jg4fD0

05/28/2026

MHK is proud to be a Bronze Sponsor of AHIP 26 in Las Vegas, June 9-10. We look forward to connecting with health plan leaders and industry innovators to discuss the future of healthcare operations, AI orchestration, and smarter workflows built specifically for health plans.

As the industry continues to navigate growing operational complexity, regulatory change, and rising expectations around speed and accuracy, conversations around governed AI and real-world automation have never been more important. AHIP26 brings together leaders from across the healthcare ecosystem to explore the ideas, technologies, and partnerships shaping what comes next.

If you’ll be attending, stop by booth 1804 and meet members of MHK including President Conor Bagnell, VP of Client Success Mike Fafara and Sales Executive Jesse Lishchuk to learn how we’re helping health plans and PBMs streamline operations, improve efficiency, and support better outcomes with purpose-built solutions.

05/25/2026

This Memorial Day, we pause to honor the individuals who gave their lives in service to our country. Their courage, sacrifice, and commitment can never be fully repaid, but they can and should be remembered.

MHK offices will be closed on Friday, May 22, and Monday, May 25, in recognition of Memorial Day. During this time, our ...
05/22/2026

MHK offices will be closed on Friday, May 22, and Monday, May 25, in recognition of Memorial Day. During this time, our Help Desk will remain available by email at [email protected] or by phone at 888.963.3465.

We wish everyone a safe and meaningful Memorial Day weekend.

MHK is proud to be exhibiting at the MCG Client Forum 2026, June 1–3 in Aventura, Florida.As healthcare organizations co...
05/21/2026

MHK is proud to be exhibiting at the MCG Client Forum 2026, June 1–3 in Aventura, Florida.

As healthcare organizations continue to explore the role of AI, automation, and evidence-based decision support, we’re excited to join conversations about how health plans can modernize operations while maintaining trust, transparency, and control.

If you’re attending, connect with MHK to learn how our solutions help streamline complex workflows, reduce administrative burden, and support better outcomes for members.

Today marks the start of something important. 🌐MHK is proud to be a sponsor of the 2026 Connect Social Care Summit, pres...
05/14/2026

Today marks the start of something important. 🌐

MHK is proud to be a sponsor of the 2026 Connect Social Care Summit, presented by Findhelp — happening now, May 13–14.

This sixth annual virtual event brings together 1,500+ leaders across healthcare, social care, government, and nonprofits to tackle one of the most urgent questions in our industry: how do we build a safety net that actually works for the people who need it most?

With hashtag transformation underway, hashtag coverage shifts accelerating, and social determinants of health moving from conversation to accountability, this Summit couldn't come at a more critical time.

At MHK, we believe that whole-person care starts with knowing what a member truly needs — clinically and socially. That's why events like Connect matter, and why we're proud to support the community driving this work forward.

If you're registered, we'd love to connect. And if you haven't yet — registration is free (REGISTRATION LINK IN COMMENTS)

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