MESC 2017 Call for Abstracts 

The MESC 2017 Planning Committee seeks to provide conference participants with information about the current state of the Medicaid enterprise and the Information Technology used to support it. We are seeking to ensure abstracts reflect the many systems and diverse solutions that comprise the breadth of the Medicaid IT enterprise, including but not limited to MMIS, Eligibility and Enrollment systems, HITECH/EHR, decision support, managed care IT support, systems that support waivers.

The Call for Abstracts is now closed.

This year we have organized our request for session abstracts into five major topics that reflect the operational steps of a system’s implementation: Planning, Design, Financing, Procurement, and Implementation/Monitoring. We have also added three specialty tracks that are more narrowly focused: Third Party Liability; Interoperability; and Training.

Please remember that conference sessions, unless otherwise noted, are expected to last an hour. Due to the number of abstracts we receive, we may need to combine similarly themed abstracts in to one session. That will only be done when sufficient time can be provided to presenters.

Finally, note that these topics are intended to be an organizing tool. If you have an idea that you are passionate about but does not neatly fall into one of the categories below, please still submit it. We encourage you to be as creative as possible in developing your session proposals!

OVER-ARCHING TRACKS OF BROAD INTEREST

PLANNING: The Road Less Traveled: Getting from Business to Technology
Focus:
Medicaid Enterprise business needs and how to ensure they drive the technology.

Themes:

  1. Case Studies/Real-Life Experience
  2. Communicating Business Needs to State IT staff
  3. Designing Systems around the Needs or Experience of Medicaid or Human Service applicants/beneficiaries
  4. MITA’s Relationship to Business Processes
  5. Using Technology to Respond to Changes in Regulations or Law
  6. Other

Potential Topics include:

  • Pitfalls of designing programs without proper regard for technology changes
  • Technology to support Dual-Eligible Programs
  • Federal Financial Reporting Improvements through technology
  • Sessions focused on State Program Initiatives, for example Health Homes, Accountable Health Communities, DSRIP
  • Population Health Management
  • Social Security Number Removal Initiative

DESIGN:  Just the Techs, Ma’am
Focus:  Technical aspects of systems that support the Medicaid Enterprise System

Themes:

  1. Modularity
  2. Security 
  3. Standards 
  4. Crowd-sourced Solutions 
  5. Operating Rules
  6. Other

Potential Topics include:

  • Aligning with Federal Security Frameworks
  • Standards for Modularity
  • CAQH-CORE Operating Rules

FINANCING: Show me the Money:  Financing and Procuring the Project
Focus: Processes for States to secure federal matching funds and effectively procure the solutions that will meet the need.

Themes:

  1. Advance Planning Documents and Cost-allocation 
  2. RFP Development
  3. Contracting 
  4. HIE and HIX Funding and Sustainability 
  5. Contract Management 
  6. Other

Potential Topics include:

  • Procurement of Modular Solutions
  • Flexible Contracting
  • Successful Service Level Agreements
  • Re-use
  • Medicaid Enterprise Certification Life Cycle
  • Module Pre-certification
  • HIE and HIX Funding and Sustainability

PROJECT MANAGEMENT: Habits of Highly Effective People: Managing the Project
Focus:  Activities that occur after procurement, including the appropriate and potential roles of the State, private and public sector contractors, universities, etc.

Themes:

  1. Agile versus Waterfall Development 
  2. Testing 
  3. Roles and Responsibilities
  4. Vendor management
  5. Other

Potential Topics include:

  • Multi-State Testing Resource
  • Appropriate role of Independent Verification and Validation
  • The role of the Systems Integrator under a Modular system
  • Best practices in Governance

INFORMATION VERSUS DATA: Getting Back to Business: Data-driven Evaluation and Analysis
Focus: State data analytic efforts, new tools and new approaches to help States make the best use of their systems once they’re built

Themes:

  1. Linking clinical and claims data
  2. Data warehouse innovations
  3. Quality and outcome measure collection
  4. Fraud Prevention
  5. Predictive analytics
  6. Other

Potential Topics include:

  • T-MSIS
  • MMIS and all payer claims databases
  • Integrating with other HHS programs through data
  • Quality and outcome measure collection
  • Monitoring managed care performance with technology
  • Waivers: Evaluating their impact (positive and negative) on members
  • Inappropriate billing: The latest in applying analytics

 

SPECIALTY TRACKS

THIRD PARTY LIABILITY: Issues and Opportunities
Focus:  We are pleased to introduce a track specifically focused on the very important, required, and cost-effective Medicaid TPL business processes including accurate payments, coordination of benefits, and collection.

Themes:

  1. Recoveries
  2. Coordination of Benefits
  3. Legislation and DRA
  4. Managed Care Recovery Monitoring
  5. Insurance Payers and Subrogation Billing
  6. Medicare
  7. Other

HEALTH AND HUMAN SERVICE INTEROPERABILITY: Are We There Yet?
Focus: Sessions highlight and motivate interoperability at both the business and technology level across multiple programs to improve outcomes and address the Social Determinants of Health (SDOH).

Themes:

  1. Progress
  2. Challenges
  3. Innovative Approaches
  4. Other

BASIC TRAINING: What is Essential for New State and Industry Staff to Understand About the Medicaid Program and How It Works
Focus: Proposals of interest to State and Industry personnel who are new to the Medicaid Enterprise and/or the systems that support it. We are looking for topics to be presented in a workshop format with mixed State and Industry faculty. We anticipate that these presentations may be longer than traditional sessions. Feel free to suggest the time needed, for example, we are open to sessions lasting 2 -3 hours that may cover multiple, but related, topics and subtopics.

Themes:

  1. Medicaid Program
  2. Medicaid Enterprise Systems
  3. Other

Potential Topics include:

  • Introduction to MITA
  • Factors that lead to successful implementations: landmines and victories
  • Overview of Advance Planning Documents and their Federal review
  • Introduction and overview of current CMS IT Initiatives (T-MSIS; Modularity; SSNRI)

The submittal deadline for abstracts was March 31, 2017.
Notification of the acceptance of your abstract will be sent by email in late-April.

If you have any questions regarding your submission or the abstract submission process, please contact info@mesconference.org.