Xerox Wins $564.9 Million Medicaid Contract with State of New York

New XeroxApril 21, 2015 – Xerox reports that it’ll be working with the state of New York to update New York’s Medicaid claims-processing system to a next-generation technology platform that the firm says will help New York manage its expanding Medicaid rolls. New York Medicaid currently serves over 6 million people.

Under the 564.9 million, five-year contract with the New York State Department of Health, Xerox will implement its Health Enterprise solution, an analytical Medicaid Management Information System (MMIS). Xerox says the system is one of the only platforms that can manage all aspects of contemporary Medicaid programs, including the new strategies in population health management, managed care, care coordination and other areas that are needed to meet the United States government’s Affordable Care Act objectives.

Under Xerox’s management, for the first time, New York Medicaid members and providers will be able to access the system through a Web site optimized for access via mobile devices.

“Xerox is giving New York the flexibility to customize our Medicaid program so we can best serve both the people who rely on this system and the healthcare providers who are on the front lines of caring for them every day,” commented New York State Medicaid Director Jason Helgerson. “We’ll rely on Xerox to offer a simple and straightforward experience for our service providers and our Medicaid population.”

Health Enterprise is Xerox’s newest solution for comprehensive Medicaid program management. It uses an already-proven platform that allows for rapid design and development to meet New York’s specific needs. As Xerox continues to invest in innovating the Health Enterprise platform, it says New York will be able to easily adopt new system enhancements.

According to Xerox, Health Enterprise offers New York and other states a variety of advantages:

  • Quicker updates: Traditional mainframe MMIS often require significant time and money to make system changes. Health Enterprise offers flexible program management, so administrators can quickly update program rules, implement new methods for improving member care and health outcomes, or adjust to new payment methodologies.
  • Modularity and interoperability: Functional modularity and data interoperability are key aspects of U.S. federal regulations for Medicaid Information Technology Architecture standards. With Health Enterprise, the New York Department of Health will be able to easily exchange data across modular components and with other state and commercial systems to work compatibly in a true information network.
  • Mobile access: Running on a user-friendly interface, Health Enterprise in New York is optimized for use with mobile devices. This will allow the state’s Medicaid clients to receive a variety of services, including access to their medical history, via Android and iOS mobile devices.
  • Population health management: Analyzing the data of New York Medicaid members, the system will identify high-risk populations who might benefit from the state’s care-management programs. Health Enterprise will also help the state monitor and manage healthcare delivery. New York health officials will use its case-management tool to offer high-risk members resources that can help improve their health while reducing the overall cost of care.

“New York is currently navigating four major transitions – a significant Medicaid expansion, a shift to a managed-care model, a shift to value-based payment, and a total technology platform transformation,” commented Dave Hamilton, group president of Xerox’s Government Healthcare Solutions division. “With Health Enterprise we are well positioned to assist the state with all of these priorities – providing a platform that is flexible and intuitive so the state can best serve its Medicaid population and its evolving program goals.”

To support the project, Xerox will add 400 jobs, including clerical staff, call-center positions, healthcare professionals, and technical positions, in Albany and other New York locations.

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