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News

Thomson Healthcare to support Idaho’s Medicaid IT modernisation programme

Thomson Healthcare : 18 January, 2008  (New Product)
Thomson Healthcare has received a multi-year contract from the state of Idaho to provide a healthcare decision support system and data warehouse (DSS/DW) for the Idaho Department of Health and Welfare, as part of the state's modernisation plans for its Medicaid Management Information System.
The DSS/DW system will improve the department's ability to manage and mine data from nine million healthcare claims submitted to the state Medicaid programme each year.

'We're very pleased to be working with the state of Idaho, and we're looking forward to supporting the state's efforts to increase quality, manage costs, and fight fraud in its Medicaid programme,' said Pate McCartney, Thomson Healthcare vice president and general manager.

The Department of Health and Welfare will use analytic and reporting capabilities of the Thomson Healthcare DSS/DW to strengthen management of Medicaid programmes, measure cost effectiveness and quality of care, forecast budgets, and fulfill federal Management and Administrative Reporting (MAR) requirements. The system will generate information that supports programme planning and evaluation, financial reporting, healthcare utilisation management, Medicaid eligibility analysis, actuarial rate setting, and other functions. The system will also serve as the department's Surveillance and Utilisation Review System (SURS), which is mandated for every state Medicaid programme by the federal government to help detect healthcare fraud and abuse.

The Thomson Healthcare solution integrates an analytically ready data warehouse with advanced methodologies and business intelligence applications to provide a powerful decision support system. The system will be specifically configured to meet the unique needs of the Idaho Medicaid programme and will replace the programme's existing information system.
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