Implementing a Medicaid IT Framework that aligns business processes with HITECH and Affordable Care Act goals to improve care delivery.
At a time when state budgets and staffing resources are severely constrained, Medicaid Agencies have little choice but to re-engineer business processes to streamline eligibility and enrollment, support patient- centric service delivery and reduce administrative burden. From an IT perspective, the question arises as to which business processes can leverage the opportunities presented by these drivers to build an IT framework, based on national standards and service oriented architecture principles to facilitate data interoperability? What is the role of cloud-based applications? In short, with so many common requirements, can we finally break the costly death spiral of every state building its own solution 51 times (counting the District)? Or does the current “burning platform/crisis” provide us with the greatest opportunity in 45 years to re-think the way we do business in Medicaid?
Panelists will discuss from the federal, state and industry perspectives:
- The role of the Medicaid IT Architecture (MITA) 3.0 Framework going forward
- How Eligibility and enrollment systems need to change over the next 3-5 years
- The intersection of Health and Human Services, including the value of electronic health records
Rick Friedman, Director of State Systems, CHIP and Survey and Certification, CMS
Jim Wang, CIO, Arizona Health Care Cost Containment System (AHCCCS)
Mike Maxwell, National Director, State & Local Government & Education, Symantec Corp
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