Outsourcing Center, Kathleen Goolsby, Senior Writer
Thanks to the American Recovery and Reinvestment Act (ARRA) (the economic stimulus package for the U.S. economy), healthcare reform, and the Health Information Technology for Economic and Clinical Health Act (HITECH), the next five years will see a dramatic increase in outsourcing in the healthcare industry. But there are significant challenges for decision makers beyond …
Outsourcing Center, Kathleen Goolsby, Senior Writer
These days, many governments are changing their former approach to outsourcing, resulting in higher-value outcomes. Read about the foundational aspects and successful accomplishments of one such government outsourcing partnership.
Outsourcing Center, Kathleen Goolsby, Senior Writer
More than 35 million Americans currently qualify for Medicaid; that number will explode as the baby boomers age. Outsourcing is one way to cut costs to stay profitable while improving quality. Here’s how Arkansas and Delaware attacked the Medicaid problem. The Delaware relationship was a runner-up finalist in the 2003 Outsourcing Awards.
Outsourcing Center, Kathleen Goolsby, Senior Writer
Medicaid is one of the most controversial, complicated and expensive programs in U.S. government. It’s very political, so there is a high level of interest, and there is also a lot of change going on in it all the time, says Peggy Bartels, Administrator of the State of Wisconsin’s Division of Health Care Financing. So any entity that provides outsourcing for Medicaid is going to be in a fishbowl environment. It’s very difficult. She explains that the process of reviewing and making determinations about whether or not Medicaid will fund services is all done under the very close supervision and administration of the State. Decisions are controversial. By being our business partner, the outsourcer invites the same criticism we receive, she adds. They’re in the bull’s eye, and it is a big challenge to do that kind of work and maintain a positive presence. Nevertheless, EDS took the challenge and has been the Medicaid fiscal agent in the State of Wisconsin since their outsourcing agreement began in 1977.
Outsourcing Center, Beth Ellyn Rosenthal, Senior Writer
Selecting a health care provider is tricky today because there are so many choices. To ensure the 1.8 million people enrolled in the Medicaid program in Texas have help in making that important decision, the Lone Star State decided to outsource that task, according to Larry Fisher, director, Contract Compliance division for the Texas Department of Health in Austin, Texas…
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