Deloitte

To help state healthcare agencies address new regulations, IBM Business Partner Deloitte teamed with IBM to develop the Medicaid Enterprise Solution (MES) HealthInteractive Platform running on IBM® Cloud™ technology. With MES, state Medicaid programs can keep IT up-to-date with less effort and expense while aligning with federal guidance. 

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Challenge

For decades, state healthcare programs relied on large legacy Medicaid Management Information Systems (MMIS) to support core functions. To address the growing cost and complexity involved in maintaining and updating these platforms, the Centers for Medicare and Medicaid Services (CMS) established guidelines to shift programs toward a new approach to IT—one focused on modular, interoperable solutions.

With more than 30 years as a consultant to state healthcare agencies and extensive experience as a systems integrator, Deloitte was uniquely qualified to help organizations meet the challenges of modernization. Offering the insight, industry knowledge, and breadth of integration skills required to deliver a highly effective new Medicaid enterprise solution, the company sought a proven technology leader to help develop the platform. 

Initiative

IBM offered the cohesive suite of products Deloitte was looking for, including powerful cloud technology. “Having a solution that could scale massively was very important,” says Van Spaulding, Senior Solution Architect for Deloitte. “Plus, we wanted a hybrid hosting model where we could offer a software as a service solution to our clients, but still maintain single-tenant architecture that wouldn’t mix client data. We’re able to do this with IBM Cloud as our foundation.”

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Deloitte teamed with IBM to develop the MES HealthInteractive Platform, an offering designed to tie Medicaid IT modules together in a flexible cloud-based architecture. Running on a core service bus comprising IBM MQ, IBM Integration Bus, and IBM WebSphere® Service Registry and Repository software, the solution uses IBM WebSphere Application Server software as its front-end portal application and IBM Operational Decision Manager and IBM Business Process Manager software for process automation.

Result

The collaboration between Deloitte and IBM resulted in an innovative solution for helping state healthcare agencies align with CMS guidelines and adopt a more modular approach to enterprise IT. With MES architecture in place, programs can keep their technology up-to-date with far less effort and expense, replacing individual modules as needed instead of revamping an entire enterprise system.