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.

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)

Reducing prior authorization sounds like simplification. In reality, it’s a shift in where and how decisions get made. A...
05/06/2026

Reducing prior authorization sounds like simplification. In reality, it’s a shift in where and how decisions get made. As prior auth of low-risk volume (routine, high-approval services) are reduced, health plans must manage more complex, higher-impact cases that demand precision and transparency.

That’s where intelligent, orchestrated workflows become critical. Our latest blog explores the implications and opportunities. See link in comments.

05/04/2026

Your PBM contract renewal window may matter more than the 2028 deadline. Existing contracts are not subject to the Consolidated Appropriations Act, 2026 rebate pass-through requirements. The clock is not starting in 2028. It started at your last renewal.

We break down what health plans need to know and do before their next negotiation.

Link in comments.

04/28/2026

PBM reform isn’t on the horizon, it’s already here. From Capitol Hill hearings to new transparency rules, the pressure on PBMs is accelerating fast. Health plans that wait risk falling behind on compliance, visibility, and oversight. What should you be doing right now?
https://hubs.li/Q04dP-jW0

04/22/2026

Earth Day is a reminder that meaningful change doesn’t come from big moments alone—it comes from consistent, intentional action. Across healthcare and beyond, the way we work, build, and operate has a lasting impact. Even small improvements, done at scale, can make a difference.

Today is a good moment to reflect on where we can do better, and then take the next step forward.

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