# Healthcare Management Administrators \(HMA\)

> Proving What's Possible in Healthcare \-\- TPA solutions for self\-funded employer health plans

## At a glance

| Field | Value |
| --- | --- |
| Category | Core Administration |
| Type | Solutions Provider |
| Region | NA |
| Headquarters | Bellevue, Washington, USA |
| Founded | 1986 |
| Stage | Established |
| Employees | 201-500 |
| Funding | Bootstrapped |

## 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

## Category & focus

- Subcategories: Third\-Party Administration, Self\-Funded Health Plans, Claims Processing
- Insurance verticals: Health, Group Benefits
- Target customers: Employers, Brokers

## Links

- Website: <https://www.accesshma.com>
- Directory profile: <https://insurtechlist.com/companies/healthcare-management-administrators/>
- About us: <https://www.accesshma.com/about-us>
- Built in: <https://builtin.com/company/healthcare-management-administrators-hma>
- Linkedin: <https://www.linkedin.com/company/healthcare-management-administrators>

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*Last updated: 2026\-05\-12*
