As part of the $215 million contract, HPE will establish the Kansas Modular Medicaid System – a new, high-tech foundation to assist the administration of Medicaid. Adopting a variety of HPE technologies, commercial off-the-shelf software and programs from Cerner and SAS, HPE will strengthen the state’s ability to manage Medicaid policies and finances across disparate programs and agencies.
Medicaid is undergoing a dramatic transformation due to federal mandate. The Department of Health and Human Services has issued new standards and conditions for Medicaid technology systems that must be met. which include the use of a modular, flexible approach to systems development. Failure to meet the new criteria can result in the loss of federal funding for technological investments and improvement.
To comply with the new government criteria, HPE has designed KMMS to support modularity and a multi-vendor model that can operate seamlessly in traditional and hybrid IT environments. As a result, KDHE has future flexibility to add or swap modules without replacing the underlying infrastructure that powers the state’s Medicaid systems. This flexibility enables KDHE to more cost-effectively upgrade individual modules as business needs change without the added risk, expense or potential disruption to reprocure the entire system.
“With KMMS, Kansas will have a new information technology foundation for our Medicaid enterprise that will allow us to communicate targeted, actionable information from more sources in near real time to decision-makers,” said Dr. Susan Mosier, Secretary of the Kansas Department of Health and Environment. “This foundation will support changes over time to meet future program needs. By selecting HPE, we have partnered with an innovative company that understands the unique technological challenges of Medicaid delivery.”
The KMMS is a major IT milestone for the state and is comprised of a variety of HPE technologies and services and key industry solutions. HPE will leverage HealtheIntentSM, Cerner’s system-agnostic, near real-time population health management platform designed to aggregate data from multiple sources into a single patient record. In addition, Cerner’s enterprise data warehouse solution, HealtheEDWSM, will be deployed to provide insights and intelligence based on claims analysis, clinical and financial information across the state’s more than 400,000 Medicaid beneficiaries. These systems will enable Kansas to manage patient care and health outcomes to an optimal level.
“Historically, states collected analysis based on retroactive claims data,” said Zane Burke, president of Cerner. “Working with HPE, Kansas’ Medicaid program will be able to produce intelligence based on claims plus clinical and financial information in near-real time that allows Kansas to improve and futureproof its ability to exchange data across disparate agency systems. This is an unprecedented opportunity to contribute to the improvement of health care delivery and the health of communities on a state-wide scale.”
“Agencies that process and dispense Medicaid services are under enormous pressure to get the job done,” said Susan Arthur, vice president & general manager, health & life sciences industry and Canadian public sector, HPE Enterprise Services. “As the largest provider of Medicaid process management services touching more than 24.5 million lives, HPE brings to bear the knowledge and expertise to exceed KDHE’s goals that will ultimately improve the healthcare quality of Kansans across the state.”