Xerox Wins $565M NY Medicaid Management Contract

NORWALK, Conn. —

Xerox (NYSE: XRX) will work with the state of New York to update its Medicaid claims processing system to a next-generation technology platform that will help manage expanding Medicaid rolls. New York Medicaid currently serves over 6 million people.

Under a $564.9 million, five-year contract with the New York State Department of Health, Xerox will implement its Health Enterprise solution, a flexible, adaptable and analytical Medicaid Management Information System (MMIS). The system is one of the only platforms that can manage all aspects of contemporary Medicaid programs, including the new strategies in population health management, managed care, care coordination and other areas that are needed to meet Affordable Care Act objectives.

Given its very large and diverse Medicaid population, New York requires a modern technology platform to run the Medicaid program efficiently, while keeping up with changing state and federal requirements. Meeting consumer expectations for access is also key. For the first time, New York Medicaid members and providers will be able to access the system through a website optimized for mobile devices.

“Xerox is giving New York the flexibility to customize our Medicaid program so we can best serve both the people who rely on this system and the healthcare providers who are on the front lines of caring for them every day,” said New York State Medicaid Director Jason Helgerson. “We’ll rely on Xerox to offer a simple and straightforward experience for our service providers and our Medicaid population.”

Health Enterprise is Xerox’s newest solution to comprehensive Medicaid program management. It uses an already proven platform that allows for rapid design and development to meet New York’s specific needs. As Xerox continues to invest in innovating the Health Enterprise platform, New York will be able to easily adopt new system enhancements.

Health Enterprise offers New York and other states a variety of advantages:

  • Quicker updates: Traditional mainframe MMIS often require significant time and money to make system changes. Health Enterprise offers flexible program management, so administrators can quickly update program rules, implement new methods for improving member care and health outcomes, or adjust to new payment methodologies.
  • Modularity and interoperability: Functional modularity and data interoperability are key aspects of federal regulations for Medicaid Information Technology Architecture standards. With Health Enterprise, the Department of Health will be able to easily exchange data across modular components and with other state and commercial systems to work compatibly in a true information network.
  • Mobile access: Running on a user-friendly interface, Health Enterprise in New York is optimized for use on mobile devices. This will allow the state’s Medicaid clients to receive a variety of services, including access to their medical history, via Android and iOS devices.
  • Population health management: Analyzing the data of New York Medicaid members, the system will identify high-risk populations who might benefit from the state’s care management programs. Health Enterprise will also help the state monitor and manage healthcare delivery. New York health officials will use its case management tool to offer high-risk members resources that can help improve their health while reducing the overall cost of care.

“New York is currently navigating four major transitions – a significant Medicaid expansion, a shift to a managed care model, a shift to value-based payment, and a total technology platform transformation,” said Dave Hamilton, group president,Government Healthcare Solutions, Xerox. “With Health Enterprise we are well positioned to assist the state with all of these priorities – providing a platform that is flexible and intuitive so the state can best serve its Medicaid population and its evolving program goals.”

Xerox has more than 40 years of experience working with government health agencies to enhance the efficiency of programs that ensure the health of citizens. Currently being used in two states and being implemented in three others, Health Enterprise annually processes millions of claims and pays billions of dollars to thousands of doctors and hospitals on behalf of millions of Medicaid beneficiaries accurately and on time, saving states money and maximizing allowable federal financial participation.

To support the project, Xerox will add 400 jobs, including clerical staff, call center positions, healthcare professionals, and technical positions, in Albany and other New York locations. Xerox was founded in Rochester, where the company has more than 50 buildings and 600 acres of campus space that house its major global operations, manufacturing and research sectors. Xerox currently has approximately 10,000 employees in the state of New York.

About Xerox
Xerox is a global business services, technology and document management company helping organizations transform the way they manage their business processes and information. Headquartered in Norwalk, Conn., we have more than 140,000 Xerox employees and do business in more than 180 countries. Together, we provide business process servicesprinting equipment, hardware and software technology for managing information — from data to documents.

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