Optum Teams with Medecision, TriZetto on New Offering to Streamline States’ Medicaid Management Information Systems
- First-to-market, customizable approach will enable states to purchase only the information technology and clinical services they need, and avoid costly, time-consuming inflexible systems
- Comprehensive solution to provide claims processing, data warehousing and care management offerings
The new Optum Medicaid Management Services (OMMS) solution is a Software-as-a-Service (SaaS) and Business Process-as-a-Service (BPaaS) model that will enable
“The Optum solution is analogous to states purchasing the electricity they need rather than building the entire power plant,” said
A recent rule change by the
States that purchase services instead of setting systems requirements can benefit in numerous ways, including a shortened IT implementation period with less cost and reduced risk; more choices from proven commercial solutions that already work in the marketplace; improved administrative operations; and access to new technologies and cloud-based approaches that help agencies operate more flexibly.
“Medecision’s people and technology help power the care that millions of American beneficiaries receive under
“The expansion of managed
Traditionally, MMIS systems – which process
With Optum’s new solution, states will structure their request for federal matching funds in the form of business services rather than system requirements. CMS auditors would certify that all services requested by the state and approved by CMS have been made available, and then make federal matching funds available to the state.
The
- Business services, such as
Medicaid fee-for-service claims processing, care provider enrollment, call center activities and operations reporting. - Analytics and data warehousing services that can use data to help states identify needs across their population, focus resources accordingly to improve outcomes, and measure the performance of care providers, health plans and new state-managed programs to improve care.
- Health services such as wellness and care management programs to improve the health of
Medicaid fee-for-service recipients.
In conjunction with the launch of its new solution,
About
About
Leading Medicaid MCOs and
About TriZetto, a
TriZetto, a
TriZetto’s world-class technology products, in combination with Cognizant’s consulting, IT, and business process services, dramatically simplifies the deployment and adoption of technology and improves operations. For more information, visit http://www.trizetto.com
TriZetto and the TriZetto triangle logo are registered trademarks and Facets is a trademark of the
Click here to subscribe to Mobile Alerts for
View source version on businesswire.com: http://www.businesswire.com/news/home/20160504005342/en/
[email protected]
or
Senior Vice President, Marketing Services
[email protected]
or
For TriZetto and Cognizant
Text100
[email protected]
Source:
Global Experts Convene at National Earthquake Conference
Advisor News
Annuity News
Health/Employee Benefits News
Life Insurance News