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From Replacement to Reinvention

Uncovering the keys to People-Centric, Technology-Enabled Medicaid Transformation in New Mexico

The New Mexico Human Services Department is leading the Medicaid Management Information System Replacement (MMISR) project to replace its more than 20-year-old Medicaid Management Information System (MMIS) with a modular solution following guidance from the Centers for Medicare and Medicaid Services (CMS). The MMISR suite will better enable New Mexico to focus on a 360-degree view of care to support a “no wrong door” approach for members, while easing the provider administrative burden and reducing the state’s operating costs.

This article, published in the American Public Human Services Association (APHSA) Policy & Practice magazine, explores the goals of the MMISR project, the challenges faced throughout the journey so far, and the strategies and leading practices that New Mexico is employing to overcome those challenges. The article also highlights the impact of the MMISR project, as well as what’s ahead in the continued journey to improve health outcomes for New Mexicans.

Drive into our thinking:

From Replacement to Reinvention

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How social, technological, economic, and regulatory trends are shaping the future of Medicaid

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Achieving Medicaid transformation value

A three-step, business-first approach

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The integration imperative

The backbone to Medicaid Enterprise System modernization

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Population health management and Medicaid transformation

Key considerations for state Medicaid agencies and partners

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Common reasons Medicaid enterprise system projects might not succeed—and the tools you have to help prevent them.

Meet our team

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Michael Wirth
Advisory Managing Director, Health & Government Solutions, KPMG US

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