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State & Local Government - Health & Human Services

Improving healthcare services to citizens through technology.

Integrate multiple, siloed systems for meaningful connectivity:

  • • Consolidate intra-agency program information
  • • Access information across agencies and jurisdictions
  • • Comply with Affordable Care Act regulations to connect to the federal data hub and health insurance marketplaces
  • • Implement new requirements for Medicaid and health insurance eligibility

Accurate information yields improved healthcare.

Health & Human Services (HHS) IT is tasked with providing seamless access to government services while implementing a host of complex initiatives, including:

  • Health Insurance Exchange (HIX) system launches or Federally Facilitated Exchange (FFE) interoperability
  • Integrated Eligibility (IE) automation architecture and integration points across existing health and eligibility systems to embrace "No Wrong Door" future state systems
  • Technology improvements to the Supplemental Nutrition Program for Women, Infants and Children (WIC) to expand the use of Electronic Benefit Transfer (EBT) systems
  • Medicaid Management Information Systems (MMIS) eligibility system upgrades to handle massive increases in enrollment

The problem is HHS agencies are saddled with clunky, siloed legacy systems that are simply unable to meet the ever-changing complex demands. HHS agencies have no choice but to modernize their infrastructures and move further along the integration continuum. In order to achieve this, states must keep the end goal in mind and take advantage of the federal dollars available for modernizing and building these new administrative efficiencies into their systems.

Software AG's HHS solutions are used to mask the multi-agency/multi-system complexity and enable agencies to coordinate behind the scenes to provide citizens a single, seamless eligibility determination and enrollment process. We offer an enterprise approach to digitalization and data sharing to better coordinate care, reduce costs and serve citizens. Agencies benefit from linking critical information systems among multiple agencies and citizens as well as harnessing powerful analytics engines to derive meaningful insight from the data within those systems.

HHS Solutions Framework Infographic

HHS Solutions Framework by Software AG