Modular MES Implementations
Brian Erdahl, Deloitte Consulting Principal and leader of Deloitte’s Medicare & Medicaid Enterprise Systems, sat down with Healthcare IT Connect’s Rob Waters to discuss Medicaid modernization and modularity.
Rob Waters (RW):Brian, we understand that Deloitte is leading four state Medicaid Enterprise System (MES) projects from a Systems Integration perspective. Can you give us a quick snapshot of the progress towards modularity?
Brian Erdahl (BE):Yes, there are great strides being made within all these projects. Each project is unique, but there are many similarities. The timeline and strategy for each state varies, but the overall goals are relatively similar—increasing flexibility, promoting efficiency through standardization, and providing better access to data that providers, members, workers, and others need to improve outcomes. At this point in time, all states have established solid work plans, governance, and communications. Technical platforms and initial security structures are in place with module integration discussions underway. States are considering common questions, too—topics like conversion, portals, and testing are top of mind.
RW:What do you see as the biggest benefits of the modular MES? Why do you think states should embrace modularization and modernization?
BE:We believe that the move to modularity will help organizations improve integration across the broader health care ecosystem—connecting stakeholders both within state agencies and with external entities providing health-related services. To improve health outcomes and manage costs, stakeholders increasingly need real-time data that they cannot access today. For example, consider a Medicaid member residing in a remote rural area that has limited access to health care services. In the future that member may access electronic medical records, receive virtual health care and monitoring, and continue to live independently. Legacy solutions typically have focused on administration, while the new MES increases focus on sharing information to improve health outcomes…among other benefits.
RW:So, let’s talk about outcomes. That word gets thrown around a lot. What does it mean in the context of MMIS modernization?
BE:That’s a great question. Outcomes is one of those words that means different things to different people. From our perspective, we have worked to build the foundation to support outcomes tracking and analytics. We have established a robust data architecture to efficiently capture the standardized information necessary to measure results across the spectrum—from individual health outcomes to overall population health, from individual provider performance to that of accountable care organizations, and from financial to operational performance.
RW:If you were to change one thing about the modularity movement, what would that be?
BE:This is something we have considered a lot over the last few years, and it comes down to one key concept: more emphasis on data access. When people hear “data access” they typically think tools. What is often an afterthought is planning and implementing a data architecture that supports that improved data access. We hear consistently that data quality, data silos, and vendor-locked data is a barrier to getting high-quality, consistent information. We take this very seriously in our role to bring solutions to our clients—helping to strategize and implement the future data architecture with the move to modularity.
Deloitte is the 2019 TRACK 1 Sponsor
Medicaid Modernization, Modularity and MES Procurement | Attend Deloitte’s industry session TRACK 1| Addressing Security in a Modular Environment
Tuesday, March 19th • 2:45pm – 3:45pm
View 2019 State Healthcare IT Connect Final Agenda