HIE and State Medicaid Partnerships: New Sustainability for Technology Funding
The Medicaid Enterprise System (MES) funding and Streamlined Modular Certification (SMC) process replaced expiring HITECH funding on September 30, 2022. This shift impacts health IT funding and long-term financial sustainability for every HIE serving Medicaid programs. In the wake of this funding change, HIEs and their Medicaid program counterparts seek strategies to address new budget constraints while continually advancing IT capabilities and building financial sustainability. Unfortunately, the shift to MES funding comes at a time when HIEs are also evolving into health data utilities (HDUs) to better support state Medicaid programs, public health, at-risk entities, and health equity initiatives. There are new rules. HIEs and state Medicaid programs are both trying to figure them out as they go. This session provides attendees a valuable opportunity to learn from other HIEs how to navigate the new rules of MES funding and SMC process without cutting back on key HIE services. Two leading HIEs demonstrate how they worked collaboratively with Medicaid programs and technology partners to march health IT forward and ensure future financial support in a post-HITECH environment.
Learning Objectives
- Break down the financial impacts of Medicaid Enterprise System (MES) funding on current and future HIE services and health IT investments
- Evaluate five new technology funding models and associated health IT roadmaps to ensure HIE financial sustainability under MES
- Compare strategy, process, and outcomes from two HIEs on how to secure MES funding to support subscriber services and health IT
- Restate the critical importance of building strong partnerships with state Medicaid programs in a post-HITECH funding environment to support public health, health equity, community programs, and move to the SMC process
- Formulate a revised Medicaid partnership plan to secure MES funding and long-term sustainability for your HIE
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