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Invigorating Texas Medicaid

 

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24x7, Fall 2004

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“HP marketing resources helped us in the marketing phase, HP sales resources helped us in the implementation phase, and HP support and operations resources are now helping us in the operations phase. The business partnership has been extremely effective.”

Dave McCurley, partner in Accenture’s Government practice

Accenture and HP team up to drive faster claims processing

Accenture is a global management consulting, technology services, and outsourcing company. With 95,000 employees in 48 countries, and nearly US$12 billion in annual revenue, the company is a huge player in the global business arena.

One of Accenture’s many areas of focus is government services. Within this vertical is the human services segment, which encompasses such areas as public assistance, labor systems, unemployment insurance, child welfare, child support, adult protective services, and government healthcare. In this last area—government healthcare—an important new element in the long-standing global alliance between Accenture and HP was recently put in place: the HP NonStop server–based claims processing system at Texas Medicaid.

“As part of our alliance with HP, we jointly pursue opportunities that include the sale and implementation of HP hardware and software,” explained Dave McCurley, a partner in Accenture’s Government practice. “At Texas Medicaid, we teamed up early in the engagement: HP marketing resources helped us in the marketing phase, HP sales resources helped us in the implementation phase, and HP support and operations resources are now helping us in the operations phase. The business partnership has been extremely effective.”

A major project

As the third-largest processor of Medicaid claims, the State of Texas was very pleased with the NonStop servers (installed and operated by EDS/NHIC) that had handled its mission-critical claims processing for several years. As the expiration date of the EDS/NHIC contract approached, however, due diligence required the State to put the project out to bid. In addition to the incumbent, Affiliated Computer Services (ACS) threw its hat into the ring—and won. ACS engaged Accenture to handle system installation, application programming, and ongoing management and support.

The State of Texas stipulated that claims processing should stay on NonStop technology. “The decision to implement this particular system on the NonStop platform was made before we arrived,” affirmed McCurley, “but I’ve been impressed with the high reliability, availability, and capacity of the equipment. We are actively looking for ways to leverage more features of the NonStop system, in order to create an even more robust and flexible solution for our client.” Accenture upgraded the system to the NonStop S86000 platform and implemented various architectural changes, increasing throughput and speed by as much as 40 percent over the previous system.

Cutting the system over

The business challenge faced by Accenture and HP was to move the entire operation from NHIC and migrate all applications within a very short time frame—while the application continued to change and all existing service levels remained active. “The incumbent had to keep running the old system right up until the day we took it over,” recalled McCurley. “We needed to completely replicate their solution in a different data center on our equipment, so we could just flip the switch, move the last few hours of data across, and go live.”

The cutover was accomplished five days ahead of schedule. The best part, according to McCurley, was that nobody noticed. “The transition was so smooth and so seamless that it was really a non-event,” he said. “The move was completely transparent to the users of the system.”

No small feat, considering that the State’s NonStop system–based acute care and long-term care processing applications account for some 1.75 million claims a week, with $200 million going out to providers in the same time period. A NonStop server is also used as the overall data warehouse system, housing more than 4 terabytes of Medicaid claims data for record keeping, audit, and analysis. Federal regulators and administrators had estimated that the project would take 18 months to two years; in fact, the new system was operational in less than 11 months.

A growing business partnership

The success at Texas Medicaid has made it clear that, working together, Accenture and HP represent an impressive force for change in government healthcare. “Our relationship helped us in multiple pieces of this particular project,” summarized McCurley. “During the pursuit phase, it helped us identify a technology offering that was complete and compelling. In the transition phase, our teams worked together to make sure the cutover happened as seamlessly as possible, on a more aggressive timetable than anyone thought possible. And in the ongoing operations phase, we continue to rely on HP support, as changes and upgrades become necessary.”

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