HMA provides end-to-end AI consulting services for health and human services organizations.
HMA works with state and local government health and human services agencies including Medicaid agencies, health plans, providers, and healthcare technology leaders to develop and implement practical AI strategies that improve operational performance, workforce productivity, member and patient experience, and financial outcomes. Our team provides end-to-end support across AI strategy, AI solution implementation, AI governance, vendor evaluation, workforce transformation, responsible AI and regulatory compliance. HMA helps clients accelerate their move from experimentation to measurable business value and improved performance and goal attainment.
HMA meets clients where they are in their AI planning and adoption journeys by providing trusted, independent advice and support. Our comprehensive AI Consulting Services methodology and toolset is based on disciplined assessment, action plan development and refinement, and implementation advice and support. We partner with clients to integrate AI into operations to improve efficiency, decision‑making, and outcomes while ensuring compliance, transparency, and public trust. Our AI consulting services are tailored to address the unique challenges in the health and human services sector, with the goal of helping clients implement AI solutions that are scalable, compliant, transparent, and sustainable.
Unlike general technology consultancies, HMA combines deep health and human services operational expertise with AI and IT advisory and implementation support capabilities. Our consultants have led health and human services agencies and programs, health plans, provider organizations, IT initiatives and large-scale business transformation efforts. As such, we are particularly well equipped to help clients identify and prioritize AI use cases, assess organizational readiness, establish governance and risk management frameworks, evaluate technology vendors, and implement solutions that can drive performance improvement while ensuring compliance with all applicable requirements.
Our approach to AI consulting services is grounded in the CMS Health IT Ecosystem, aligned with federal health and human services IT and interoperability requirements, and incorporates the NIST AI Risk Management Framework.
AI Procurement & Vendor Selection
- Independent Evaluation: Objective, vendor-neutral analysis of third-party AI software, platforms, and models.
- Procurement & Contracting: Drafting AI-specific RFPs, technical requirements, SLA definitions, and liability frameworks.
- AI Architecture & Data Readiness: Assessing existing data pipelines, EHR integrations, and workflow maturity before deployment.
Governance, Compliance & Public Trust
- ONC & CMS Alignment: Mapping AI deployment to federal Health IT standards, HHS guidance, and CMS regulations.
- Bias & Equity Auditing: Evaluating algorithmic models for clinical bias, disparate impacts, and population health equity.
- Risk Mitigation & Ethics: Establishing internal AI governance structures, oversight committees, and defensibility models.
Operational Impact & Project Rescue
- AI Adoption Diagnostics: Auditing and course-correcting underperforming or challenged healthcare AI rollouts.
- KPI & ROI Measurement: Defining clear metrics for administrative efficiency, clinical decision support, and cost reduction.
- Workforce Readiness: Designing change management and training strategies for frontline care and administrative staff.
We’ve helped clients:
- Develop AI strategies and action plans: Transition AI from concept to deployable capability by aligning executive leadership, securing decision-grade data, creating workflow automation and designing ROI-driven action plans.
- Establish AI governance frameworks – Design and operationalize governance structures that ensure safe, consistent, and accountable AI deployment across health and human services organizations, including oversight, controls, and lifecycle management.
- Prioritize High-Impact Use Cases: Help clients focus where it matters most. Identify, validate, and sequence AI initiatives based on operational value, feasibility, and time-to-impact, with a focus on initiatives with meaningful, quantifiable benefits.
- Support AI policy, regulatory alignment, and compliance: Help clients deploy AI with confidence, ensure AI deployment is fully aligned with legal and regulatory mandates, and engage client stakeholders to ensure transparency and build trust.
Turn AI Potential Into Real‑World Impact
AI can transform health and human services—but only when it’s implemented responsibly and aligned with real workflows.
Schedule a conversation with our AI consulting team
Clients We Support with AI Consulting
HMA provides AI consulting services tailored to the operational, regulatory, and financial realities of different health and human services stakeholders, helping organizations apply AI where it drives measurable improvements in cost, efficiency, access, and quality.
- Health plans, behavioral health organizations, and FQHCs seeking AI-driven operational efficiency – We support AI-enabled transformation across prior authorization automation, care management optimization, clinical documentation improvement (CDI), contact center automation, member engagement, and revenue cycle optimization which help reduce administrative burden, accelerate authorization turnaround times, improve documentation quality, enhance member experience, and improve financial performance.
- Rural and resource-constrained healthcare providers seeking AI to expand access and improve productivity – We help organizations implement AI-enabled workflow optimization, telehealth enablement, and EHR and administrative automation that reduce documentation and administrative burden, improve care coordination, accelerate patient access, and increase workforce productivity in staffing-limited environments.
- State and local HHS agencies seeking AI-powered program modernization – We support program modernization across eligibility and enrollment, service management, provider payment, fraud detection and program integrity, program performance analytics and reporting, and other critical functions with the goal of reducing manual processing, improving analytics and reporting accuracy, lower administrative costs at scale, and ensure beneficiaries receive the services they need when they need them.
- ACA marketplaces seeking AI-enabled eligibility and enrollment transformation – We help marketplace clients modernize eligibility systems, enrollment workflows, and contact center operations using AI and analytics to reduce call volumes through automation, improve data accuracy, speed eligibility determinations, improve member experience, and lower administrative costs.
- Health information exchanges (HIEs) and health data organizations (HDOs) seeking interoperability and AI-enabled data governance – We help HIEs/HDOs design and deploy more valuable solutions that strengthen data exchange and interoperability and enable more efficient cross-system care coordination and analytics.
- Financial sponsors seeking healthcare AI value creation and operational due diligence – We evaluate and work with suppliers of health and human services AI solutions with the goal of informing investment decisions, marketing strategies, and IT solution roadmaps.
What Sets HMA Apart
We are a health and human services consulting firm first.
Making high‑stakes AI decisions is challenging enough without having to explain your organization’s business to advisors. Health and human services organizations operate in one of the most complex, regulated, and mission‑driven environments in the country. Effective AI guidance has to start from that reality, not from a generic technology framework retrofitted to healthcare.
Why choose HMA for AI adoption rather than a technology consulting firm?
Health and human services operate within unique regulatory and mission-driven constraints. HMA is an HHS consulting firm first. We provide AI guidance rooted in the operational realities of HHS programs, private payers, providers and vendors, ensuring solutions are impactful and compliant from day one.
How does HMA manage the full enterprise AI implementation lifecycle and change management?
We provide “end-to-end” advisory and support services, meaning the same experts who develop your strategy stay through implementation, evaluation and rapid-cycle improvement. Our services cover everything from executive AI education and action plan development to procurement, vendor selection, and continuous quality improvement.
How does HMA mitigate algorithmic bias, data privacy risks, and unintended consequences in healthcare AI models?
We leverage a deep understanding of the entire HHS ecosystem—including the impacts that technology may have on providers, payers, and regulators. By anticipating how AI changes affect different stakeholders, we can help clients implement AI action plans that ensure transparency, defensibility, and public trust.
Can AI help with Fraud, Waste, and Abuse (FWA) initiatives?
Yes. HMA experts leverage machine learning and generative AI to transform healthcare FWA initiatives. HMA Principal Arun Natarajan led the implementation of over 30 predictive models for the IRS, shifting the agency to real-time AI detection that identified over $10 billion in financial crimes. Our team can apply these exact machine learning methodologies to identify improper payments and billing anomalies and optimize provider payment management within Medicaid and Medicare Advantage programs.
What technical data expertise, actuarial science, and analytics capabilities does HMA bring to AI rollouts?
Beyond AI strategy, we can integrate population health analytics, actuarial science, and business intelligence system design. This multidisciplinary approach helps organizations maximize ROI by aligning AI with workflow and revenue optimization.
If you are preparing to procure or implement AI solutions, responding to federal guidance on AI adoption and use, or reassessing a challenging AI project, HMA can help.
Talk with HMA about your AI priorities
