Gartner Research

Medicaid Information Technology Architecture (MITA) and Federal Matching Funds Obscure Bigger Gains

Published: 02 December 2016

ID: G00319558

Analyst(s): Bryan Cole

Summary

Improving state Medicaid systems is not just coming into compliance with federal regulations or obtaining matching funds. State CIOs should break the mindset that Medicaid functions are different enough to require completely unique IT solutions, and transform states into modern healthcare payers.

Table Of Contents
  • Impacts

Analysis

Impacts and Recommendations

  • Regulations require Medicaid Enterprise System (MES) modularity, forcing states to consider new vendors and BPO solutions
  • Modularity spreads project risk, pushing state CIOs to make organizational, governance and process changes
  • CMS principles align MES with Medicaid growth, freeing state CIOs to advance digital program transformations

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