Vermont Awards HP $48 Million Medicaid Agreement
PALO ALTO, Calif. — HP Enterprise Services today announced that the Department of Vermont Health Access has signed a $48 million contract to continue its 31-year relationship with HP as the state’s Medicaid fiscal agent.
The new four-year agreement includes services that assist the state in reaching its healthcare reform goals.
The agreement covers the relocation of Vermont’s current Medicaid Management Information System (MMIS) to a state-of-the-art HP data center. HP also will upgrade provider call-center technology, which will improve customer service by reducing hold times and dropped calls, as well as enhance the efficiency of call routing and increase business-continuity capabilities.
A shared-solution environment allows the state to leverage HP’s knowledge and investment in the healthcare market to improve flexibility and provide increased scalability and security. Vermont will expand its use of the HP Medical Assistance Provider Incentive Repository (MAPIR) tool to track “meaningful use” incentive payments to providers. In addition, HP will remediate the current system to be compliant with ICD-10 in support of HIPAA national standards.
HP and the state have integrated Vermont Medicaid with 25 other healthcare programs under a single-processing environment supported by the MMIS. This enables the state to maximize federal funding and reduce administrative overhead.
Under the agreement, HP continues to provide Vermont with claims processing, financial management, drug rebate processing, system maintenance and modification, and provider services, including enrollment, education and call center support for all 26 healthcare programs.
Last year alone, HP processed more than 9.6 million Vermont healthcare claims for approximately 166,000 recipients, distributing more than $1.1 billion in Medicaid and other payments to nearly 12,000 healthcare providers. HP call centers fielded more than 141,000 provider calls last year.
“The state of Vermont needed to be prepared for and adapt to a nationwide healthcare transformation,” said Susan Arthur, vice president, U.S. Health and Life Sciences Industry, HP Enterprise Services. “The HP team helped develop a powerful and reliable Medicaid infrastructure that will enable Vermont to provide for those in need while maintaining fiscal responsibility.”
HP is the nation’s largest provider of Medicaid and Medicare process management services, administering $140 billion in benefits a year. It serves as the fiscal agent or principal IT provider for Medicaid in 21 states. HP’s U.S. health care experience spans payer, government and life science communities.
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