[{"innerBlocks":[],"name":"core\/freeform","postId":84,"blockType":{"name":"core\/freeform","keywords":[],"attributes":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"providesContext":[],"usesContext":[],"selectors":[],"supports":{"className":false,"customClassName":false,"reusable":false},"styles":[],"variations":[],"apiVersion":3,"title":"Classic","description":"Use the classic WordPress editor.","category":"text"},"originalContent":"Cambria Solutions will provide planning and oversight for \u201csignificant upgrades\u201d to Louisiana and Mississippi\u2019s Medicaid management information systems. The upgrades to those states\u2019 Medicaid systems are expected to lower costs, enhance care coordination, improve efficiency and provide better health outcomes, according to executives at the Sacramento-Calif.-based company, a national information technology and management consulting firm.Cambria will oversee the design and implementation of a replacement for Mississippi and Louisiana\u2019s current MMIS systems and the transition to \u201cmodularity,\u201d which it describes as the breaking up of traditional, large systems into smaller, self-contained modules that lower risk and support innovation, the company says. \u201cEach state will use modularity to help accelerate the transition to managed care and innovative delivery models.\u201dThe Centers for Medicare and Medicaid Services called for modularity in its January 2016 MMIS regulation.

According to Cambria President Suzanne Vitale, Cambria\u2019s upgrades will meet federal requirements, while aiming to please beneficiaries. \u201cThe consumerization of IT means that patients, beneficiaries and other users expect their interaction with government healthcare systems to be friendly, engaging and accessible,\u201d she says. As states make their choices for IT partners, experience plays a role. Mitzi Hochheiser, the Medicaid deputy director and chief technology officer for the Louisiana Department of Health, called the selection of Cambria an \u201ceasy choice,\u201d based on the company\u2019s experience in Medicaid across six states. \u201cThe new wave of MMIS projects demand a partner with an innovative, different approach,\u201d he adds.Mississippi recently expanded the scope of its MMIS replacement project so that Cambria could assist with enterprise-wide implementation of transformational goals. As the enterprise project management office, Cambria will oversee operational efficiency, instill project management principles across the agency and align the dozens of projects to the agency\u2019s vision, Cambria says.Cambria\u2019s announcement follows news issued last month that Kansas has achieved Stage 1 certification from CMS on its modular MMIS overhaul, implemented in partnership with DXC Technology.\u201c[F]ederal standards call for plug-and-play Medicaid systems that enable agencies to add or swap functional components as market needs change, without the expense and disruption of replacing the underlying infrastructure that powers Medicaid systems,\u201d says DXC. The modules now fully implemented in Kansas with the help of DXC include one for provider management and enrollment, and one for program integrity utilization review. In addition, an enterprise data warehouse, installed by DXC in collaboration with Cerner, will provide claims analysis, as well as clinical and financial information across the state\u2019s 400,000-plus Medicaid beneficiaries, the company says.\u201cStage 1 certification of the Kansas Modular Medicaid System is a major milestone for the state of Kansas,\u201d says Lee Norman, MD, secretary of the state\u2019s Department of Health and Environment. \u201cThe newly implemented modules will allow us to deliver more responsive service to our members and providers, including shorter calls for members to customer service, faster response times for providers and eventual cost reduction to the state through early intervention on payment accuracy.\u201d","saveContent":"Cambria Solutions will provide planning and oversight for \u201csignificant upgrades\u201d to Louisiana and Mississippi\u2019s Medicaid management information systems. The upgrades to those states\u2019 Medicaid systems are expected to lower costs, enhance care coordination, improve efficiency and provide better health outcomes, according to executives at the Sacramento-Calif.-based company, a national information technology and management consulting firm.Cambria will oversee the design and implementation of a replacement for Mississippi and Louisiana\u2019s current MMIS systems and the transition to \u201cmodularity,\u201d which it describes as the breaking up of traditional, large systems into smaller, self-contained modules that lower risk and support innovation, the company says. \u201cEach state will use modularity to help accelerate the transition to managed care and innovative delivery models.\u201dThe Centers for Medicare and Medicaid Services called for modularity in its January 2016 MMIS regulation.

According to Cambria President Suzanne Vitale, Cambria\u2019s upgrades will meet federal requirements, while aiming to please beneficiaries. \u201cThe consumerization of IT means that patients, beneficiaries and other users expect their interaction with government healthcare systems to be friendly, engaging and accessible,\u201d she says. As states make their choices for IT partners, experience plays a role. Mitzi Hochheiser, the Medicaid deputy director and chief technology officer for the Louisiana Department of Health, called the selection of Cambria an \u201ceasy choice,\u201d based on the company\u2019s experience in Medicaid across six states. \u201cThe new wave of MMIS projects demand a partner with an innovative, different approach,\u201d he adds.Mississippi recently expanded the scope of its MMIS replacement project so that Cambria could assist with enterprise-wide implementation of transformational goals. As the enterprise project management office, Cambria will oversee operational efficiency, instill project management principles across the agency and align the dozens of projects to the agency\u2019s vision, Cambria says.Cambria\u2019s announcement follows news issued last month that Kansas has achieved Stage 1 certification from CMS on its modular MMIS overhaul, implemented in partnership with DXC Technology.\u201c[F]ederal standards call for plug-and-play Medicaid systems that enable agencies to add or swap functional components as market needs change, without the expense and disruption of replacing the underlying infrastructure that powers Medicaid systems,\u201d says DXC. The modules now fully implemented in Kansas with the help of DXC include one for provider management and enrollment, and one for program integrity utilization review. In addition, an enterprise data warehouse, installed by DXC in collaboration with Cerner, will provide claims analysis, as well as clinical and financial information across the state\u2019s 400,000-plus Medicaid beneficiaries, the company says.\u201cStage 1 certification of the Kansas Modular Medicaid System is a major milestone for the state of Kansas,\u201d says Lee Norman, MD, secretary of the state\u2019s Department of Health and Environment. \u201cThe newly implemented modules will allow us to deliver more responsive service to our members and providers, including shorter calls for members to customer service, faster response times for providers and eventual cost reduction to the state through early intervention on payment accuracy.\u201d","order":0,"get_parent":{},"attributes":[],"attributesType":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"dynamicContent":""}]

States make headway on MMIS modular overhaul requirement

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