Good Luck to all Candidates Sp.Elect #4
TO THE TAXPAYERS DO YOU KNOW WHAT YOUR PAYING FOR
TAXACTION WITHOUT REPRESENTATION
We must bring to the Public regardless of Party Affiliations the
Health Care Costs of 3 Billion Dollars to DataWarehouse our Medical Records to
France.
TERRORISM CAN ALSO COME THRO THE FOOD YOU
\ EAT AND THE WATER YOU DRINK.
VA Widow Sharon Anderson rebuts Reporter Tim Nelsons published
untrue statement that Sharon Anderson would not work to keep the "PoorHouse
ie: Ramsey County Nursing Home:
Minnesota Case Study_Bull North America References - State of Minnesota Case
Study_ (http://www.bull.com/us/references/minnesotacasestudy.html)
In Minnesota, Data Warehousing is a Boost for Managing All Medical Welfare
Programs
Scope of Minnesota Solution Submitted by SharonScarrellaAnderson
651-776-583 title 31 Relator Candidate #
* Bull data warehouse helps Minnesota Department of Human Services
(DHS) manage all of its medical welfare programs.
* Medicaid budget is $3 billion with 26 million claims per year (fee
for service and managed care encounters) .
* Agency uses data warehouse to track 85,000 providers per year, and
serve more than 500,000 average monthly subscribers.
* Capabilities of warehouse have helped DHS deliver services more
effectively, track and reduce fraud and abuse, provide information to
Legislature, and more pro-actively make decisions about policy and operations.
The Minnesota Department of Human Services (DHS) is giving its Bull data
warehouse a workout. The system supports staff - ranging from policy to
operations people - who work with the data warehouse and the state's MMIS
(Minnesota
Medicaid Information System) to keep medical assistance programs healthy in
the North Star State.
These include federal and state programs, such as Medical Assistance,
General Assistance Medical Care, and MinnesotaCare; as well as smaller health
care
programs such as Home and Community Waivered Services and the Alternative
Health Care Program (helping older Minnesotans with home health services); and
the Minnesota Senior Drug Program and the Minnesota Senior Health Options
(helping seniors in the state).
This "umbrella" strategy has helped the state better manage this myriad of
medical assistance programs by helping DHS allocate resources more
effectively, make decisions about the quality of care received around the
state, and
more quickly spot and deal with fraud and abuse. While the agency hasn't done
a
full-scale analysis on the amount of fraud recovery, one DHS official said,
"we have strong anecdotal evidence that the figure is high.in one very small
area alone - rental of medical supplies - we caught a $100,000 discrepancy
during a routine analysis.this is something we simply couldn't do before the
warehouse."
But beyond that, the data warehouse has helped Minnesota DHS become more
pro-active in its decision making, according to officials. By using the
warehouse to analyze information, DHS is able to set up a number of 'what-if'
modeling scenarios, both in terms of public policy and operational issues. The
warehouse enables DHS officials to quickly determine how many and what people
would be affected by potential policy changes, for example, as well as
establish
maintenance priorities for the MMIS itself.
In addition, the warehouse has helped DHS be more responsive to the
Legislature and to potential laws proposed in that body. For example, home
health
care organizations in Minnesota had introduced legislation requiring DHS to
contact home health care providers before denying any home health care claim.
If
30 days passed without payment determination, the proposed legislation would
have made DHS responsible for the claim amount, plus interest, from the date
of claim receipt. DHS was able to use the data warehouse to show that more
than 99% of claims had payment determination within 10 days, and 99.7% of
claims had payment determination completed within 30 days. Because of this
solid
information, and the ability to analyze both paid and denied claims in the
warehouse, the proposed legislation died in conference committee.
And if those capabilities weren't enough, DHS estimates the data warehouse
saved the agency approximately $1.75 million upon its implementation, some of
which will be recurring savings from year to year.
DHS has further visionary plans for the data warehouse. In the words of the
DHS official, the "umbrella" approach to managing medical assistance programs
is the first step in analyzing services "offered to a person, rather than
services offered by a program." In the future, DHS hopes to use the data
warehouse to cross-analyze information from many divisions, to determine, for
example, what medical services foster children are receiving, how those
children
are performing in school, and whether any further state intervention may be
required.
."
n.
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