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.

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.

Potential Topics include

  • How technology has supported the creation of new State or Federal programs
  • Pitfalls of designing programs without proper regard for technology changes
  • How State IT staff understand and translate business needs to technology
  • How technology can help States or counties better understand the user experience from the perspective of Medicaid applicants or members
  • Technology to support Dual-Eligible Programs
  • Application of MITA to Business Processes
  • Technology that is culturally responsive
  • Use of technology to address changes in regulations and statute
  • 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

Potential topics include:

  • Modularity
  • Security: Aligning with Federal Security Frameworks
  • Standards
  • Crowd-sourced Solutions
  • 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.

Potential topics include:

  • Advance Planning Documents and Cost-allocation
  • RFP Development for 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

PROCUREMENT 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.

Potential topics include:

  • Agile versus Waterfall Development
  • Testing
  • Appropriate role of Independent Verification and Validation
  • Systems Integrator under a Modular system
  • Governance
  • Multi-vendor management

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

Potential topics include:

  • Linking clinical and claims data
  • T-MSIS
  • MMIS and all payer claims databases
  • Data warehouse innovations
  • 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
  • Predictive analytics: How are they being used today?

 

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.

Potential topics include:

  • Health Insurance Premium Payments (HIPP)
  • Estate Recovery & Special Needs Trusts
  • Coordination of Benefits
  • Tort/Casualty Recoveries
  • Legislation and DRA
  • Managed Care Recovery Monitoring
  • Insurance Payers & Subrogation Billing
  • Medicare Buy-In

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)

Potential topics include:

  • Meeting the Seven Standards and Conditions with interoperable systems
  • Commercial and public systems joint provider directories/enterprise master person index
  • System interfaces with State and Federal agencies
  • Integrating with other benefit programs
  • MMIS/E&E systems and Child Welfare systems
  • MMIS/E&E systems and Corrections systems

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. These workshop sessions will be presented on Monday afternoon, and 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.

Potential topics include:

  • Introduction to MITA
  • Medicaid 101
  • Effective procurements: Do’s and don’ts from both the state and industry perspective
  • 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)

Submit an Abstract

The submittal deadline for abstracts is 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.