The PMMC Story

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PMMC was founded over 39 years ago to address a pressing need in the healthcare industry. At the time, hospitals faced a financial dilemma: They were negotiating with insurance companies without a full understanding of their role in the market. Additionally, they had to respond to numerous insurance companies receiving payment for services, a cumbersome and inefficient process.  

“The original idea was to identify hospitals with quality and cost-efficient services and negotiate better agreements for discounts with insurance companies, benefiting both parties,” says Roger Shaul, Founder and Executive Chairman of PMMC. Recognizing this challenge, he invested in the idea to identify competitive costs based on community medical cost data. This allowed hospitals to negotiate better agreements with insurance companies based on data analytics.  

However, selling this idea proved challenging as the market preferred the HMO strategy at the time. The breakthrough came when the Florida Hospital Association backed Shaul’s vision, an actuarial technique to analyze hospital data allowing hospitals to tailor their bids based on average costs and projected changes. This method proved successful, with 60 to70 percent of hospitals adopting it to help streamline their financial operations,” recalls Shaul. “Insurance companies didn’t appreciate it as hospitals used it to keep charges competitive and help with contract negotiations.” 

Evolution and Growth 

As the healthcare industry evolved, so did PMMC, developing financial software to help hospitals reconcile payments and manage complex contracts. This software, now a SaaS solution, includes contract management, recovery management for both denials and underpayments, contract modeling, and a robust business intelligence system.  

PMMC expanded its reach nationwide and today serves clients in 45 states and manages a comprehensive collection of data coupled with industry experts on staff that power deep insights into hospital operations.  

Today, PMMC leverages artificial intelligence and automation to recover denied claims through appeals, demonstrating excellent decision support systems. The data accuracy the software provides has become a hallmark of the company, with hospitals relying on it as a “single source of truth,” according to Shaul. “Healthcare companies seek out our software and the business insights it provides to improve their financial performance.” 

The COVID-19 pandemic highlighted the importance of metrics and regular reporting, which has been instrumental in PMMC’s strategy. Key leaders have played crucial roles in implementing these practices. “One thing COVID did for us is increase appreciation of metrics to understand what’s going on,” says Shaul. “No one pays as much attention to accuracy of data as we do.” 

Company Culture and Values 

PMMC formalized its company values and culture, emphasizing the Entrepreneurial Operating System ®. Our values are repeated at monthly townhall meetings and are integral in the company’s actions. “We engrain these and live them out through our actions,” says Shaul.

Social responsibility is a part of the “Do the Right Thing” value at PMMC and is reflected in how the company treats its employees, promotes diversity, and supports the communities where their employees live and work. “We take pride in supporting several graduate and undergraduate programs at institutions like the University of North Carolina at Charlotte, the University of Florida, and Queens University in Charlotte. Senior executives also serve on advisory boards at these institutions, furthering their commitment to education and social responsibility.” 

Legacy and Succession 

In 2021, the process of succession began, with a new president poised to take PMMC into the future. Robby Shaul stepped easily into the role of President, after 15 years with the company serving in all facets of operation and continuing the family legacy.   

Amidst rapid technological advancements, Shaul remains committed to fostering a culture of innovation. “At PMMC, we don’t chase trends; we pioneer them. Our journey with technology—from early experiments with AI to exploring the potential of blockchain, natural language processing, and generative AI—reflects our unwavering commitment to pushing boundaries and delivering tangible value for our clients,” said Robby Shaul. 

Leadership and strategic vision continue to play crucial roles in PMMC’s reputation and continued growth.

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Are you ready to take the next step in your career and make an impact in healthcare finance? 

At PMMC, we are not just a team; we are a community of innovators and experts dedicated to improving the financial outcomes of our clients. When you join us, you become part of a culture that thrives on productivity, efficiency, and a shared passion for making a difference. Embrace the chance to work alongside a diverse and talented team, driven by values of growth, innovation, and doing the right thing. 

Your journey starts here! 

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