MITA 01 MITA SS A: Achievable Strategies for the MITA Roadmap and Enterprise Maturity Overview of MMIS Procurement Process Presented September 10, 2013] At the Medicaid Enterprise Systems Conference Charleston, South Carolina By Kristine Weinberger
Agenda MMIS Procurement Process Intro to CSG Government Services Considerations for MMIS ment Process 9/10/2013 2013 CSG Government Solutions 2
About CSG Government Solutions Government Operations Consulting National, specialized HHS, Project Assurance Services, and Unemployment Insurance Expertise Innovation Healthcare and Human Services Thought Leadership Project Assurance Services tailored to HHS priorities Established Centers of Excellence Industry participation and partnership CSG REALize Maturity Models and Results & Planning Project Assurance Technology Design and Implementation Enterprise IT Planning & Requirements Enterprise Technical Architecture Procurement Support Project Management / PMO Independent Verification & Validation (IV&V) Quality Assurance User Acceptance Testing Technical System Design Business Process Design Software ment and Testing Deployment and Training 9/10/2013 2013 CSG Government Solutions 3
Why a What to buy? Why buy it? How to buy it? What purpose does it serve? What s the objective of the purchase? How much does it cost? Where can it be sourced? How many sources are available? What s the risk? What s the benefit? What s the cost? 1/17/2013 2013 CSG Government Solutions 4
Considerations for Current MMIS Operations & Cost Analysis Missouri Vision and Goals MMIS Procurement Other States Experiences BA/IA/TA SS-A Industry Trends & CMS Guidelines 9/10/2013 2013 CSG Government Solutions 5
ment Process 9/10/2013 2013 CSG Government Solutions 6
ment Process Step 1 9/10/2013 2013 CSG Government Solutions 7
ment Process Step 2 9/10/2013 2013 CSG Government Solutions 8
ment Process Step 3 Cost vs. 9/10/2013 2013 CSG Government Solutions 9
ment Process Step 4 9/10/2013 2013 CSG Government Solutions 10
ment Process Step 5 9/10/2013 2013 CSG Government Solutions 11
Enterprise (1) Where are we today and what s the vision for the future? Understand Current MMIS Enterprise MMIS Component Diagram Determine As Is MITA maturity levels Understand Vision for Enterprise Gather and analyze existing strategic plans Conduct Visioning Session with Executive Stakeholders Articulate State Goals Conduct follow up interviews Conduct MITA State Self Assessment To Be maturity levels for Business Areas considering CMS MITA goals Gap Analysis defining steps to achieve To Be maturity levels Roadmap depicting steps in sequence across a 5 year timeline 9/10/2013 2013 CSG Government Solutions 12
(2) Identify Trends,, and Lessons Learned Research the Medicaid landscape and Survey States and Experts Compile State Medicaid profiles Identify best practices in Medicaid Identify trends in the healthcare industry Understand other states procurement strategies Understand lessons learned from procurements and implementations Compile metrics related to time, cost and effort Procurement Options Enhance Existing, COTS, Transfer, Transfer & Enhance, Modular, Hybrid selection criteria, including alignment with MITA Conduct high level alternatives analysis to select 3 procurement options 9/10/2013 2013 CSG Government Solutions 13
Cost Versus (3) Cost vs. Understand Costs and of Options Compile detailed cost data for other states Via interviews, CMS 64 Reporting, other sources Including maintenance and operations Customize financial models Based upon scope of MMIS, Fiscal Agent Operations, etc. Identify opportunities for cost reduction assumptions 9/10/2013 2013 CSG Government Solutions 14
(4) procurement alternatives Establish selection criteria Incorporate Cost Benefit data Update weighting for criteria Facilitate alternatives analysis sessions Score procurement options Select best fit 9/10/2013 2013 CSG Government Solutions 15
(5) implementation strategies Identify common practices in other large projects (external PMO, IV&V, Integrator) approach to ongoing operations during DDI (Takeover or Transition) operations strategies State run vs. Fiscal Agent Begin review process 9/10/2013 2013 CSG Government Solutions 16
Contact Information Thank you! Kristine Weinberger Client Executive Cell: (920) 319 0266 kweinberger@csgdelivers.com www.csgdelivers.com 9/10/2013 2013 CSG Government Solutions 17