Medicaid modernization and modularity

Date: 04.29.2020 | HITC Editor

Jeff Mullins, Deloitte Consulting Managing Director and leader of Deloitte’s Data Convergence and Platforms, sat down with Healthcare IT Connect’s Rob Waters to discuss Medicaid modernization and modularity.

Rob Waters (RW): Jeff, Deloitte is the Systems Integrator on four state Medicaid Enterprise System (MES) projects. What efficiencies and innovations have you seen as MMIS systems are modernized and modules are implemented?

Jeff Mullins (JM): Interoperability and reuse are really being embraced. Clients are demonstrating a commitment to standards-based data exchanges and shifting to “real-time whenever possible” to increase the responsiveness and timeliness of processes within the organizations. Data-based decision making is rapidly evolving — leveraging inputs not previously available or accessible to drive outreach, influence behavior, manage care, and align services to improve health outcomes.

RW: What’s possible with available technologies but perhaps not yet being considered?

JM: The first things that come to mind are the mobile/digital possibilities. Portals are being integrated via single sign-on (SSO) and modernized. This expands capabilities for not just mobile portal use, but also mobile chat, video conferencing, etc. These are capabilities of a robust integration platform that can positively impact the stakeholder experience. The second thing that comes to mind is leveraging integration platform capabilities for internal and external communications to create a “single voice” for the agency when communicating, regardless of the solution or module generating the alert, notice, e-mail, etc.

RW: What are the greatest challenges you’ve encountered as the SI, and how have they been overcome?

JM: Those would be communications and scheduling. All modules must actively participate in building an Integrated Master Schedule to plan work and identify dependencies. This creates a common understanding of how integrations will be completed and end goals achieved.

RW: What’s next on the roadmap for HealthInteractive™?

JM: We are proud of our product which four state clients are currently using to modernize their Medicaid programs. We constantly reinvest in HealthInteractive™, and right now we’re very focused on expanding our integrated COTS tool suite to provide even more options for clients with preferred enterprise tools and database preferences. We also are focused on innovation to reduce maintenance activities, increase levels of automation, improve performance/throughput, and create out-of-the-box “extenders” to integrate or replace/modernize client assets such as EDI portals, correspondence generation engines, and content management solutions.

RW: What improvements do you think states can pursue as they work through the modular transition?

JM: As states are planning and working through their procurement and eventual implementation, it’s critical to examine and identify their business goals and how operations can be realigned to fully leverage the modular model. For example, how is your organization handling call center functionality? What are the key metrics and how do you expect each vendor to participate/support these efforts? Aligning everyone early on the intended outcomes and the path to achieving them is critical to project success.

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