MESC 2022 Tracks and Themes

Track 1: Using Innovation & Modernization to Optimize Outcomes

Sessions in this track focus on modernization success stories and cutting-edge innovations across the MES that have resulted in measurable outcomes. Abstracts should highlight  innovative solutions  that States, and vendors have implemented to  reduce costs, improve efficiencies, and meet the needs of members, providers and state stakeholders.

Examples of themes within the Using Innovation & Modernization to Optimize Outcomes track include:

  • Utilizing technologies that may be mainstream in other sectors but are new to Medicaid agencies (e.g., artificial intelligence).
  • Managing organizational change and building capability within State agencies to realize the full benefit of innovation and modernization.
  • Introducing more specialized services in the MES to meet the needs of members, (e.g., behavioral health management).
  • Incorporating strategies to identify risk factors and social determinants of health (SDOH) (e.g., housing, food, transportation), that impact health access and outcomes and the cost of care.

Track 2: Managing Your MES in a Multi-vendor/Multi-module Environment

Sessions in this track focus on the  challenges and success stories encountered by States in managing increased numbers of vendors and modules in the MES.

Examples of themes within the Managing Your MES in a Multi-vendor/Multi-Module Environment track include:

  • Approaches to ensure that procurements are aligned with the MES roadmap and the timeline for decommissioning or retiring systems.
  • Governing multiple vendors that often have differing priorities  and working toward cohesion across the MES.
  • Approaches to ensure accountability for gray areas in contracts and services that interact closely with each other.
  • Managing module certification when a system integrator and one or more module vendors are involved.

Track 3: Lessons Learned from the PHE - Keeping the Positives and Momentum

Sessions in this track focus lessons learned, and best practices gained in the PHE that have been sustained post-PHE and the benefits derived from them.

Examples of themes within the Lessons Learned from the PHE – Keeping the Positives and Momentum track include:

  • Leveraging the techniques used to expedite speed to market of new technology in the post-PHE environment
  • Approaches to minimize State organizational boundaries when planning for and implementing new technology and process improvements.

Track 4: Meeting Members Where They Are – Approaches to Infuse Health Equity in MES Systems

Sessions in this track focus on strategies being taken by States to serve members the way they need to be served, (rather than a one-size-fits-all approach), to address inequities in access to health care and outcomes.

Examples of themes within the Meeting Members Where They Are – Approaches to Infuse Health Equity in MES Systems track include:

  • Understanding the conditions in the environments where people are born and live that affect a wide range of health and quality-of-life outcomes and risks and adopting policies to serve diverse populations.
  • How agency or partner efforts to hire diverse personnel or engage up-front engagement of stakeholders, impact design, development, and program implementation.
  • Designing a culturally competent approach to helping members and where appropriate, family and caregivers, to navigate through Medicaid.
  • Capturing and using demographic data to drive policy and system decisions that elevate historically marginalized population
  • Best practices for training and motivating staff (and system developers) to engage with beneficiaries to get the race/ethnicity responses vs defaulting to refuse to answer, not provided or “not asked or prompted.”

Track 5: Engaging Agency Partners to Implement Person-Centric Systems

Sessions in this track focus on how States are engaging  partner agencies to share data and collaborate to design systems that result in a seamless user experience. 

Examples of themes within the Engaging Agency Partners to Implement Person-Centric Systems track include:

  • Collaborating with Agencies to make navigation of systems and processes easy for members when multiple benefits and programs are available.
  • Partnering with sister Agencies to reuse existing technology to perform similar information processing requirements.
  • Consolidating member and provider interactions into a single record for better, more timely service.

Track 6: Proactively Reducing Payment Recovery Efforts

Sessions in this track focus on how States ensure that systems are established to identify potentially liable third parties and process claims accordingly.

Examples of themes within the Proactively Reducing Payment Recovery Efforts track include:

  • Innovative processes established to collect information and utilize data sources to minimize potential lost opportunities for cost-avoidance or requiring a “pay and chase” approach.
  • Estate recovery and interference with intergenerational property transfer.

Track 7: Wild Card

A general catch-all track for abstracts and proposals that do not fit cleanly in one of the above tracks.