Client: Texas Health & Human Services Commission
Industry: Government Subject
Subject: Infrastructure Outsourcing; Infrastructure Solutions
On the Web: http://www.hhsc.state.tx.us/
Accenture partners with the Texas Medicaid and Healthcare Partnership to reach higher levels of customer care in billing and information system management. Next: Background
Background
The Health and Human Services Commission has oversight responsibilities for designated Health and Human Services agencies and administers programs including the Texas Medicaid Program, Children's Health Insurance Program (CHIP), and Medicaid waste, fraud and abuse investigations.
Accenture is the lead technology provider to the Texas Medicaid and Healthcare Partnership (TMHP). Led by Affiliated Computer Services (ACS), TMHP is responsible for operations of the Texas Medicaid program, the nation’s third-largest Medicaid program. Next: How We Helped
How We Helped
Accenture is a subcontractor to ACS. Due to Accenture’s proven capabilities and access to leading-edge tools and technologies, Accenture has primary responsibility for increasing performance levels in all aspects of the technology for TMHP, including the provision of infrastructure technology. Among the services Accenture delivers are data center operations, hardware and software procurement, application management services, network operations, project management and transition management. The Accenture team maintains more than 300 applications that are responsible for claims edits, audits, approval and rejection of approximately $13 billion worth of Medicaid claims per year.
In addition, Accenture managed the overall project transition from the incumbent service provider and supports overall program management and metrics reporting. Accenture uses its innovative Accenture Delivery Methods in compliance with the Capability Maturity Model Integration (CMMI). Next: High Performance Delivered
High Performance Delivered
Higher levels of performance were realized during the transition of Medicaid responsibilities to TMHP. Those include seamless on-time transition of Medicaid services from the incumbent contractor, building an entire data center from scratch, testing over 800 system interfaces, and installing 13,000 pieces of software on 1,000 PCs over a four-day period.
During the operations of the Medicaid program, Accenture has established client trust and open working relationship and communication. Performance indicators include processing claims three times faster and paying more claims in our first cycle than the incumbent, processing 1.6 million claims in the first financial cycle (the largest ever) and deploying a new portal that created a self-service channel for claims status and eligibility verification transactions. With the new contract and Accenture’s help, the state expects to save $40 million annually. Return to Summary
Accenture is claiming us as one of their success stories!?! I DON'T THINK SO!!!! Anyone reading this who is thinking of hiring them, you better think twice! Read the remainder of this blog and the other blogs linked before you sign any contracts with them.
Didja notice they didn't say anything above about all those apps faxed to Seattle? To a warehouse, no less?
87 comments:
Accenture is saying what a great job they do in processing the Medicaid claims for payment ... so, the fewer new applications that thay certify, and the more cases they drop, then the less work they have to do for claims processing, and the faster they can work!
This reeeeely stinks.
Boy they sure can put a spin on anything can't they? Un-freaking-believable. Since they're so successful and efficient why is my WIP close to 200 and getting bigger every day?
i say "Accenture, put your money where your mouth is"
I hate to even see "Accenture or hear it.
They are screballs.
If they are a success story, why are they laying off. Are their case loads dropping because mine aren't.
Unf***ingbelievable!!!!
I cannot believe they'd publish this on their corporate web page...what a bunch crooks! Just goes to show you what half-truths and a whole lot of missing detail can do to spin out what you don't want told.
Not to defend them by any means...but this article is talking about them taking over the medicaid billing. They are claiming the whole enchilada yet!!
Everyone blames Accenture, but HHSC does have responsibility in this picture. Knowing what deliverables are needed and how the existing system works is important. HHSC did fail at this, they under estimated what it would take to put the whole system online. It wouldn't of mattered who won the contract, any contractor would have had the same issues. And no I don't work for accenture or any other consultant.
"Accenture’s project team, known as the Access Alliance, includes Maximus Inc., First Data Government Solutions LP, Dell Inc., SBC Communications Inc., Image API Inc. and a number of historically underutilized businesses" Why is everyone pointing the finger at one person?
to above.
We blame Accenture because they are the head dog. I can't help they didn't get decent companies under them, they inturn contracted parts of the contract out. Accenture is responsible and HHSC and corrupt politicians who take campaign contributions from them.
"Everyone blames Accenture, but HHSC does have responsibility in this picture. Knowing what deliverables are needed and how the existing system works is important."
That is actually true...HHSC did not even consider the actual time to do the case work! They did not ask a single "real" worker for advice (I volunteered, no one asked my opinion). TIERs is a bloated, glitchy, poorly written piece of crap and it is slower..much slower than our old Saverr system.
It is obvious to me that the move to private contractors had more to do with politics and greed than anything else. And now that they have committed us to this piece of shit, they are going to shove it down our throats and blame us when it fails.
I hope FNS never gives the "go ahead" for this project and/or releases Federal Funds for the program.
We need to get rid of these rehired re-tired supervisors and PMs who are doing nothing more than running interference with the Feds and trying to frighten everyone else into just accepting TIERs.
The Commissioner and anyone above the level of supervisor within the HHSC are just kissing the Governors ass while he is reaping the benefits of kickbacks and a huge political warchest for his presidential ambitions.
Perry is a crook and so is everyone who is playing "his" game to put private contractors in place of state employees.
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