Florida Awards HP $109 Million Medicaid Contract Extension
PALO ALTO, Calif. — HP Enterprise Services today announced the Florida Agency for Health Care Administration (AHCA) has signed a $109 million agreement for HP to continue as the state’s Medicaid program fiscal agent and to help support Florida through its transition to the Statewide Medicaid Managed Care program.
Under the two-year agreement, which extends the contract through June 2018, HP will continue managing Florida’s Medicaid Management Information System (MMIS). The system helps manage Medicaid benefits for more than 3.4 million Floridians with a sustainable infrastructure used for provider enrollment, claims and encounter processing, reporting, and audits.
“We’re in the midst of one of the largest transformations in history—one that requires states to have a flexible and stable technology backbone and processes in place to respond without interrupting service,” said Justin Senior, deputy secretary for Medicaid, Florida Agency for Health Care Administration. “We appreciate having HP as a partner because of its industry knowledge and experience working with Medicaid programs nationwide.”
HP processes more than 150 million claims worth more than $24 billion per year for approximately 114,000 Florida healthcare providers. HP also is helping the state lower costs and improve service by enabling providers to enroll online and eliminate paper remittance statements.
During the last contract term, HP implemented inpatient hospital claims using diagnosis-related groups rather than the traditional per diem method, a significant enhancement that improves service to participants as well as providers. HP also provides Florida’s decision support system that Medicaid staff uses for data analysis and to identify potential fraud and abuse.
“With a growing demand for Medicaid services, flexibility to quickly respond to regulatory changes while maintaining seamless service is vital,” said Susan Arthur, vice president, U.S. Health and Life Sciences Industry, HP Enterprise Services. “Over the last five years, the HP team has supported Florida’s Medicaid program with proven, stable technology that supports a quality, cost-effective program.”
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 19 states. HP’s U.S. healthcare experience spans payer, government and life science communities.
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