Healthcare Management Administrators (HMA)
Proving What's Possible in Healthcare -- TPA solutions for self-funded employer health plans
Overview
Healthcare Management Administrators (HMA) is one of the nation's largest regional third-party administrators (TPAs) for self-funded employer health plans. Founded in 1986 in the Pacific Northwest, HMA operates under the tagline "Proving What's Possible in Healthcare" and has built a four-decade track record of designing and delivering high-quality, innovative, and affordable health benefit solutions for employers.
HMA's core mission is "Creating a healthier future for each client, every time," anchored by three operational pillars: Assist, Educate, and Support. The company serves clients across the Pacific Northwest, Utah, and Michigan, providing member support, provider network access, wellness programs, and data-driven plan customization for self-funded employers.
With approximately 292 employees and annual revenue reported at USD 271 million, HMA is affiliated with Cambia Health Solutions, a regional healthcare organization. The company has earned recognition as one of Washington's Best Workplaces for five consecutive years, reflecting its people-first culture alongside its client-centric service model.
Products & Services
Self-Funded Health Plan Administration
Full-service TPA solution for employers seeking cost control and flexibility in their health benefit programs. HMA designs and administers customized, self-funded health plans tailored to each employer's workforce demographics and cost objectives.
Key Features
- Flexible, customizable plan designs
- Plan cost management and claims adjudication
- Compliance support for self-funded employers
Target Users: Mid-size to large employers in the Pacific Northwest, Utah, and Michigan
Member Portal
Digital self-service platform enabling health plan members to manage their benefits, access claims information, request ID cards, and navigate health resources.
Key Features
- Claims status tracking
- Digital ID card access
- Benefits and coverage information
Target Users: Employees enrolled in HMA-administered health plans
Claims Processing and Adjudication
End-to-end claims processing platform with payment integrity controls and cost management features. Includes member support and tracking capabilities.
Key Features
- Automated claims adjudication
- Payment integrity and fraud controls
- Member support and dispute resolution
Target Users: Self-funded employers and their enrolled members
Provider Network Access
Relationships with healthcare provider networks, particularly in the Pacific Northwest, supporting member access to in-network care and managing provider coverage and network negotiations.
Key Features
- Regional provider network management
- Coverage verification and authorization
- Network adequacy reporting
Target Users: Employers and members accessing healthcare services
Wellness Programs and Health Advocacy
Comprehensive wellness initiatives and health advocacy programs designed to support member health outcomes and help employers manage rising healthcare costs.
Key Features
- Employee wellness initiatives
- Health advocacy and navigation support
- Preventive care programs
Target Users: Employer plan sponsors and their enrolled members
Data Analytics and Plan Optimization
Data-driven analytics and reporting tools enabling employers to understand plan costs, member utilization, and optimization opportunities.
Key Features
- Plan cost and utilization reporting
- Trend analysis and benchmarking
- Strategic plan optimization insights
Target Users: HR and benefits managers at self-funded employer organizations
At a Glance
- Founded
- 1986
- Headquarters
- Bellevue, Washington, USA
- Employees
- 201-500
- Funding
- Bootstrapped
Category & Focus
- Category
- Core Administration
- Subcategories
- Third-Party Administration Self-Funded Health Plans Claims Processing
- Insurance Verticals
- Health Group Benefits
- Target Customers
- Employers, Brokers
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Last updated: 2026-05-12