Xerox will work with the state of New York to upgrade its Medicaid claims processing system to a next-generation technology platform that will help manage expanding Medicaid rolls, the company announced on Monday. Under a $564.9 million, five-year contract with the New York State Department of Health, Xerox will implement its Health Enterprise solution, a flexible, adaptable and analytical Medicaid Management Information System (MMIS). The system is one of the only platforms that can manage all aspects of contemporary Medicaid programs, including the new strategies in population health management, managed care, care coordination and other areas that are needed to meet Affordable Care Act objectives.
Given its very large and diverse Medicaid population, New York requires a modern technology platform to run the Medicaid program efficiently, while keeping up with changing state and federal requirements. Meeting consumer expectations for access is also key. For the first time, New York Medicaid members and providers will be able to access the system through a website optimized for mobile devices.
Health Enterprise is Xerox’s newest solution to comprehensive Medicaid program management. It uses an already proven platform that allows for rapid design and development to meet New York’s specific needs. As Xerox continues to invest in innovating the Health Enterprise platform, New York will be able to easily adopt new system enhancements.
Health Enterprise offers New York and other states a variety of advantages including:
– Quicker updates: Traditional mainframe MMIS often require significant time and money to make system changes. Health Enterprise offers flexible program management, so administrators can quickly update program rules, implement new methods for improving member care and health outcomes, or adjust to new payment methodologies.
– Modularity and interoperability: Functional modularity and data interoperability are key aspects of federal regulations for Medicaid Information Technology Architecture standards. With Health Enterprise, the Department of Health will be able to easily exchange data across modular components and with other state and commercial systems to work compatibly in a true information network.
– Mobile access: Running on a user-friendly interface, Health Enterprise in New York is optimized for use on mobile devices. This will allow the state’s Medicaid clients to receive a variety of services, including access to their medical history, via Android and iOS devices.
– Population health management: Analyzing the data of New York Medicaid members, the system will identify high-risk populations who might benefit from the state’s care management programs. Health Enterprise will also help the state monitor and manage healthcare delivery. New York health officials will use its case management tool to offer high-risk members resources that can help improve their health while reducing the overall cost of care.
New York Medicaid currently serves over 6 million people. To support the roll-out, Xerox plans to add 400 jobs, including clerical staff, call-center positions, health care professionals and technical positions, in Albany and other NY locations.
