Xerox Helps State Medicaid Organizations Reduce Costs, Improve Care

By Brett Jakovac, senior vice president and managing director of Government Health Solutions, Xerox

According to a recent survey of healthcare professionals, only 10 percent believe their organizations use data and analytics to their highest potential, citing barriers such as unstandardized data in silos (37 percent), lack of technology infrastructure (17 percent), and data and analytics skills gaps (15 percent).[i]

Today, big data insights are available in abundance. The shift from paper-based records to electronic health records has created a rapid rise in data, so the challenge is not with collecting data. However, the ability to use it in a meaningful way to reduce costs and improve care programs is an arduous task for many.

Here are a couple of ways Xerox is partnering with our clients to make healthcare work better:

Coordinate Better Care Programs: Most state Medicaid programs are already using analytics to measure performance – but insight into how to improve performance is more challenging. In Wyoming, analysis into the cause of hospital readmission revealed perinatal conditions was a main driver. Digging deeper, the state and the Xerox team identified the location of most of the cases and responded to the findings with care management and intervention practices. Care managers from Xerox educated – providers and clients on post-discharge resources reduced readmission rates, and helped the state avoid more than $1 million in healthcare costs while preventing future health issues.

Deliver Improved Business Results: In Missouri, Xerox helped MO HealthNet, the state’s Medicaid division, use analytics to identify appropriate enrollees for its Primary Care home health program – a person-centric, integrated and cost-efficient program that aims to improve outcomes for medically complex, high-cost Medicaid members.

A unique set of disease, eligibility and utilization criteria was used to select participants who would benefit the most from the program. In addition to identifying participants, MO HealthNet, in collaboration with Xerox, uncovered supplementary care management opportunities, used outreach to increase visibility and enrollment and secured additional matching funds.

Xerox has been in the business of healthcare for more than 40 years, helping government agencies enhance the efficiency of Medicaid and other health programs, to help ensure the health of citizens while controlling costs and improving business results in the process.

To learn more about how Xerox uses data and analytics to reduce readmissions, improve care coordination programs and plan for the future, tune into the annual Medicaid Enterprise Systems Conference on August 17 – 20.

[i] KPMG, 2015, Only 10 Percent Of Healthcare Organizations Using Data & Analytics To Fullest Potential, KPMG Survey Finds

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