Caring for the most vulnerable population · Client story State of Tennessee Over the years, KPMG...
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The State of Tennessee’s Division of TennCare (TennCare) was tasked with modernizing the state Medicaid IT system, a vital source of health care services for approximately 1.4 million residents, often considered the most vulnerable population of the state as of September 2019. Previous attempts at modernization had not been successful. Although systems integrators were engaged to support the deployment of a new software environment, the state also recognized the need for a long-term strategic technical adviser to coordinate, assess, and manage everyone’s efforts along the transformation journey. Since September 2015, KPMG has been advising the State of Tennessee’s Division of TennCare through their transformational journey, focused on modernizing their Medicaid program and assisting with its Eligibility and Enrollment System implementation. As one of the main priorities of TennCare, the KPMG team supported the successful deployment of the modernized eligibility system in March 2019. Throughout the course of the project, the KPMG team established a business analyst function; developed a roadmap for projects in scope; developed business process models and detailed requirements; delivered funding, certification, and procurement support; launched an organizational change management initiative, supported training and testing programs, and provided quality assurance over the system integrator. Client challenge Benefits to client Client A U.S. state Sector Public health care services Project Medicaid IT system modernization Caring for the most vulnerable population Client story State of Tennessee Over the years, KPMG has served the State of Tennessee’s Division of TennCare as a trusted, strategic adviser. Subsequently, KPMG was directly engaged by the state to provide technical advisory and assessment services for modernizing its Medicaid eligibility system. The current project is very complex and involves the Medical Assistance Eligibility and Enrollment Systems, the Medicaid Management Information System and Appeals System, the Health Information Exchange, and components for analytics and security. KPMG assembled an experienced, multidisciplinary team that now works closely with third-party systems integrators and stakeholders in the Division of TennCare and provides a number of services to help support the success of the project. KPMG response © 2020 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved. The KPMG name and logo are registered trademarks or trademarks of KPMG International. NDP037300-1C
Transcript of Caring for the most vulnerable population · Client story State of Tennessee Over the years, KPMG...
The State of Tennessee’s Division of TennCare (TennCare) was tasked with modernizing the state Medicaid IT system, a vital source of health care services for approximately 1.4 million residents, often considered the most vulnerable population of the state as of September 2019. Previous attempts at modernization had not been successful. Although systems integrators were engaged to support the deployment of a new software environment, the state also recognized the need for a long-term strategic technical adviser to coordinate, assess, and manage everyone’s efforts along the transformation journey.
Since September 2015, KPMG has been advising the State of Tennessee’s Division of TennCare through their transformational journey, focused on modernizing their Medicaid program and assisting with its Eligibility and Enrollment System implementation. As one of the main priorities of TennCare, the KPMG team supported the successful deployment of the modernized eligibility system in March 2019. Throughout the course of the project, the KPMG team established a business analyst function; developed a roadmap for projects in scope; developed business process models and detailed requirements; delivered funding, certification, and procurement support; launched an organizational change management initiative, supported training and testing programs, and provided quality assurance over the system integrator.
Client challenge Benefits to client
ClientA U.S. state
SectorPublic health care services
ProjectMedicaid IT system modernization
Caring for the most vulnerable populationClient story
State of Tennessee
Over the years, KPMG has served the State of Tennessee’s Division of TennCare as a trusted, strategic adviser. Subsequently, KPMG was directly engaged by the state to provide technical advisory and assessment services for modernizing its Medicaid eligibility system. The current project is very complex and involves the Medical Assistance Eligibility and Enrollment Systems, the Medicaid Management Information System and Appeals System, the Health Information Exchange, and components for analytics and security. KPMG assembled an experienced, multidisciplinary team that now works closely with third-party systems integrators and stakeholders in the Division of TennCare and provides a number of services to help support the success of the project.
KPMG response
© 2020 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved. The KPMG name and logo are registered trademarks or trademarks of KPMG International. NDP037300-1C
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For more information about KPMG’s Information Technology capabilities, go to: www.kpmg.com/us/IT.
KPMG insightsWork with industry specialistsProjects for the public sector can have unique requirements in terms of size, complexity, funding, security, and regulatory mandates. Specialists in state and local government understand the public sector and can speak its language, helping government entities address their specific challenges.
Leverage previous efforts For the Tennessee project, KPMG leveraged portions of existing operating models and tested methodologies developed for engagements in other states involving healthcare delivery systems. This helped ensure steady progress along the transformation journey from strategy to implementation.
Build multidisciplinary teamsToday’s large-scale projects need a flexible approach involving people, processes, and technology. Members with diverse skills can complement each other and optimize the team’s overall efforts.
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© 2020 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved. The KPMG name and logo are registered trademarks or trademarks of KPMG International. NDP037300-1C
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