How Medicaid can improve its IT systems and manage uptick in enrollment

The financial results of the COVID-19 pandemic may cause a sharp boost in Medicaid eligibility and enrollment this year, however details management systems that states have in place are not effectively geared up, according to Health Affairs.

Jackie Drees –
Monday, June 29th, 2020
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To avoid IT concerns that might arise with an increase of enrollees, states need to consider changing from their legacy systems to more modern, state-based info systems, according to the report.

Click on this link to see the complete report.

Ability to manage a surge in claims and enlist recently qualified individuals quickly.
Can combine Medicaid data with the states health details exchange.
Welcomes outcomes-based accreditation, which CMS is supporting to assist attain service outcomes and minimize burdens on states.
Ability to track quality of care, patient security and health outcomes in addition to pay claims.
Allow suppliers to receive real-time signals when clients go the emergency department or are confessed to the healthcare facility.

Eligibility for Medicaid is expected to increase by 5 million to 18 million individuals by the end of 2020, depending upon how high the U.S. unemployment rate increases, according to a current Health Management Associates research study.

Here are five functions and capabilities of modern Medicaid IT systems:.

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