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The Iowa Medicaid Enterprise Building of an Enterprise Lessons Learned Mary Tavegia.

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Presentation on theme: "The Iowa Medicaid Enterprise Building of an Enterprise Lessons Learned Mary Tavegia."— Presentation transcript:

1 The Iowa Medicaid Enterprise Building of an Enterprise Lessons Learned Mary Tavegia

2 IME – The Early Years Began with procurement of support services Began with procurement of support services Development of a scope of work Development of a scope of work Joint Application Design (JAD) Sessions Joint Application Design (JAD) Sessions Analysis of MMIS Production System Analysis of MMIS Production System Administration Changes Administration Changes

3 Critical Decision Points Structure Structure One RFP, multiple components One RFP, multiple components Best of Breed Contractors Best of Breed Contractors System System MMIS basically met needs; move to State platform MMIS basically met needs; move to State platform Develop new Data Warehouse on State platform Develop new Data Warehouse on State platform

4 Critical Decision Points (contd) Facility and Tools Facility and Tools Co-locate State and Contractor staffs in same facility Co-locate State and Contractor staffs in same facility Common set of tools Common set of tools Workflow Process Management System Workflow Process Management System Same data sources used by all Contractors Same data sources used by all Contractors MMIS MMIS Data Warehouse Data Warehouse OnBase OnBase

5 Critical Decision Points (contd) Performance Based Contracts Performance Based Contracts Accountable Government Act Accountable Government Act Common Contracts Common Contracts Report Card Report Card Major performance outlined for all Contractors in each Contract Major performance outlined for all Contractors in each Contract Enterprise performance the goal Enterprise performance the goal Renewal of Contracts Renewal of Contracts Different Base Year Contracts Different Base Year Contracts Renewal on a staggered schedule Renewal on a staggered schedule

6 IME Success Increased State Control and Accountability Increased State Control and Accountability Moved MMIS System to State Platform Early Moved MMIS System to State Platform Early Built State infrastructure to support IME Built State infrastructure to support IME Common facility Common facility New hardware to support MMIS and Data Warehouse New hardware to support MMIS and Data Warehouse State owned equipment for Contractors State owned equipment for Contractors Staggered renewal of Contracts Staggered renewal of Contracts Flexibility of Model Flexibility of Model

7 Opportunities Improved definition of overlapping tasks within Scope of Work Improved definition of overlapping tasks within Scope of Work Business Office function Business Office function Earlier involvement of State staff in process Earlier involvement of State staff in process Unit Managers Unit Managers Policy Staff Policy Staff Limit required staffing of Contractors to Account Managers Limit required staffing of Contractors to Account Managers

8 Why this Choice? Multiple Contractor Model with State infrastructure provides: Multiple Contractor Model with State infrastructure provides: Flexibility Flexibility Accountability Accountability More participation by niche Contractors More participation by niche Contractors State involved in more day to day management of activities and decisions State involved in more day to day management of activities and decisions Business centric focus Business centric focus


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