Medicaid Enterprise Systems Conference 2019 -

Medicaid Enterprise Systems Conference 2019

KAI Partners was thrilled to attend the Medicaid Enterprise Systems Conference (MESC) last week in Chicago. MESC is an annual event bringing together public sector and private sector Medicaid leaders and partners to discuss issues around national Medicaid programs and systems.

A primary focus at MESC is claims management by Medicaid Management Information Systems (MMIS), provider management, and benefits eligibility management.

MESC is a critical meeting point for thoughtful dialogue, workshops, and demonstrations of new technologies. Over the course of three days, the KAI Partners team participated in several informational sessions, attended workshops, and had discussions on the trade show floor with new contacts and potential partners.

The conference provided insight into the various issues confronting systems across the nation and a valuable opportunity for us to share our knowledge working with MMIS technology, data warehousing, analytics, and business intelligence.

The themes of this year’s event centered primarily around the following:

  1. Health Care Innovation
  2. Medicaid Innovation
  3. Operations and Compliance
  4. Procurement and Contracting
  5. Interoperability
  6. Data and Analytics

These themes appeared throughout MESC sessions, where topics included the role of AI, Robotic Process Automation, Program Integrity, Modularity, Data Analytics, Organizational Change Management, Modernization, Outcomes-based approach to successful Medicaid system programs, and more.

From discussions at MESC, as well as our work here in California, we know the goals are to develop Medicaid solutions that are qualitative, supported by relevant technology, and that meet the needs of those who rely on these critical medical services.

One discussion centered around outcomes and encouraged technology vendors to be more active in pushing their technology further to achieve the desired outcomes—and to not be content with checking boxes on contract requirements.

Technology vendors were encouraged to engage in greater depth in understanding the limitations of the proposed system and to work with their public sector partners to achieve results that will have a meaningful impact on the populations served.

We were very encouraged by the session themes and with our discussions during the conference—they play to our company strengths and support our goal to serve a greater segment of the Medicaid enterprise. We look forward to pursuing opportunities that provide excellence in health care consulting and helping Medicaid departments achieve the programs and member outcomes for which they strive!

Attending MESC on behalf of KAI Partners this year were:

Ryan Hatcher: Ryan Hatcher is a skilled communications and management consultant with over a decade of experience campaigning for government, public affairs, and political clients. Ryan serves as an executive consultant providing communications support to one of California’s heath care agencies. He resides in Sacramento with his wife, Nikki, and their two dogs; in his spare time, Ryan enjoys experimenting in the kitchen and tinkering/building things in his garage.

Alexis Kalman: A graduate from UC Davis, Alexis spent over 10 years working with State Medicaid and other health and human service departments to develop, implement, and operate analytic warehouses and decision support systems. In her current role with KAI Partners, Alexis works as a technical project manager for a statewide education agency. Alexis is a board member at the YMCA of Superior California representing the Yolo YMCA. She also participates in both Boy and Girl Scouts with both of her children.

Lucie-Anne Radimsky: Lucie-Anne has over 15 years’ experience in communications and business development in the U.S. and Europe. She has represented clients within the technology, energy, and telecommunications sectors to government agencies, press, and industry analysts throughout the world. Lucie-Anne is an active community volunteer and has served on numerous non-profit boards and led alumni groups in Paris, Washington D.C., and San Francisco. She holds a B.A. in Economics from the University of California, Irvine. She resides in Sacramento with her Brazilian husband and two boys.

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