Massachusetts Medicaid System Designed by HP Earns Federal Certification

This is a breath of fresh air to see a technology company and not an insurer build a claims processing IT infrastructure. I make the comment as in the past that’s about all who has been processing claims and insurers are even buying up the 3rd parties that interact with auditing and checking for accuracy etc. as well. Last year HP was also awarded a contract for Quality Control for the EHR stimulus program. Actually with HP gaining government contracts with some of the posts made here has made a good impression with MDs as they have briefly commented. BD

HP Wins $26 Million Medicare Contract For Quality Control Contractor for EHR Stimulus

Press Release:

PALO ALTO, Calif., Aug. 3, 2011 – HP Enterprise Services today announced that Massachusetts’ Medicaid Management Information System (MMIS), designed and built by HP for the Executive Office of Health and Human Services, has received full federal certification.

The accreditation by the Centers for Medicare & Medicaid Services ensures that Massachusetts will receive maximum federal funding for the system’s implementation and ongoing operation. Funding is retroactive to the system’s first day of operation.

The Massachusetts certification marks the 10th HP interChange MMIS to earn federal accreditation.

The new system processes approximately 75 million eligibility verifications and 80 million claims from healthcare providers worth $6.5 billion per year. It is used by the state’s 24,000 Medicaid providers and delivers:

— An enhanced provider web portal (Provider Online Service Center) featuring online enrollment, real-time claims processing and status updates, member eligibility inquiries, prior authorization approvals, and enhanced security.

— A service-oriented architecture that integrates and secures information exchange, including member updates from the agency’s multiple determination systems as well as interactive services for providers and other systems improving efficiency.

— Online self-service features that have increased enrollments and significantly reduced paper transactions, improving client experience as well as lowering waste consumption.

— Features that consolidate health data and operational processes such as member enrollment and card issuance, eliminating the need to access multiple systems.

“The federal certification of Massachusetts’ MMIS is the result of hard work and collaboration by the Office of Health and Human Services and HP,” said Dr. Julian Harris, director, Massachusetts Medicaid. “The system we implemented is user friendly and efficient, benefiting Medicaid providers and citizens across Massachusetts.”

“The new Massachusetts Medicaid claims system is a valuable resource for Medicaid providers like us,” said Sara Hartman, vice president, Association of Behavioral Healthcare. “It brings the claim system into the 21st century, supporting the business practices of the behavioral health providers, the efficient and timely payment of claims, as well as the increased compliance with state and federal regulations.”

HP is the nation’s largest provider of Medicaid and Medicare process management services, administering $95 billion in benefits a year. It serves as the fiscal agent or principal IT provider for Medicaid in 21 states. HP’s global health care experience spans payer, provider, government and life science communities.

“As states prepare for the entry of millions of new Medicaid patients into the system over the next few years, they are looking for flexible, yet powerful information systems to ease administrative and provider workloads,” said Susan Arthur, vice president, U.S. Healthcare, HP Enterprise Services. “Using our industry-leading certification experience while collaborating closely with the state of Massachusetts and a provider advisory group, we were able to successfully deliver a user-friendly, federally certified MMIS.”

HP is helping the Massachusetts Executive Office of Health and Human Services in the pursuit of Instant-On Government. In a world of continuous connectivity, the Instant-On Government embeds technology in everything it does to serve employees, partners and citizens with whatever they need instantly.

About HP

HP creates new possibilities for technology to have a meaningful impact on people, businesses, governments and society. The world’s largest technology company, HP brings together a portfolio that spans printing, personal computing, software, services and IT infrastructure at the convergence of the cloud and connectivity, creating seamless, secure, context-aware experiences for a connected world. More information about HP (NYSE: HPQ) is available at http://www.hp.com.