Visit EY at MESC 2024

August 14, 2024 at 1:00pm in M100

As states progress with the modernization of their Medicaid systems, what strategies can they employ to enhance system performance and the user experience?

Join us for an engaging panel discussion on the modernization of state Medicaid systems. Discover strategies to improve member experiences and reduce the time for eligibility determinations and streamline the enrollment process for members. Learn how we can help states reduce the administrative burden on providers so they can focus on the delivery of care. Learn how we can help states with compliance and accountability by using tools designed to reduce the risk of audit findings from both state and federal partners. Our modernization approach not only advances Medicaid initiatives but also offers seamless integration with other Health and Human Services agencies and health care organizations. We will share a transformative case study from Arizona’s Health Care Cost Containment Medicaid agency.

August 15, 2024 at 8:30am in Ballroom B

As guidance and enforcement from federal funding agencies1 approaches evolve, there’s a key question that states face: How will they confirm that their Medicaid Enterprise System is fully compliant with federal regulations? Historically, state Medicaid agencies have maintained compliance through a point-in-time, labor-intensive manual review of individual regulations and comparison to system and business process functionality. With the advent of large language models and artificial intelligence, agencies have new tools in their toolkit to increase the efficiency and effectiveness of achieving regulatory compliance while meeting the requirements needed to maintain full operations and maintenance federal funding.

States that are found to be noncompliant with federal regulations may be at risk of significant funding deficits. Now’s the time for states to build a long-term modern strategy for approaching risk and compliance to protect their Medicaid federal funding. A modernized strategy includes leveraging tools that increase the efficiency and accuracy of regulatory identification, implementation, reporting and continued compliance.

This session consists of a panel of EY professionals and Louisiana Department of Health employees (LDH) to showcase our successful collaboration of a pilot technology solution that has not only demonstrated an ability to reduce the manual effort needed to review and summarize federal regulations, but also to parse out the individual obligations contained within each regulation. Using this inventory, state agencies, such as LDH, can map regulatory obligations to their agency’s business and technology functions to demonstrate and manage their Medicaid regulatory compliance.