Case Study: Lakeland Care
Progressive data management enables high-quality, cost-effective care for Lakeland.
Overview Overview
Lakeland Care is a Managed Care Organization serving more than 7,700 frail elders and individuals with physical and intellectual/developmental disabilities across 22 counties in Wisconsin. Lakeland partners with the Menominee Tribe and the Oneida Nation to provide tribal care management under Wisconsin’s Family Care program.
Challenges Challenges
Data integration management
Cumbersome processes that lacked functionality within its current tool
Decentralized and manual management of enrollment, authorizations and claims data for 1K+ providers
Lacked IT resources to manage CMS Interoperability and Patient Access Final Rule compliance
Solution Solution
TESCHGlobal did an analysis on data and integration needs and provided the following solutions:
An internal-facing web application for staff working in nine regional offices to more efficiently manage the process for member enrollment, disenrollment and re-enrollment
An external-facing web portal application for providers to view service authorizations and claims.
A provider management application that automates provider application and contracting.
Implementation of the HealthLX Interoperability Platform and FHIR Enterprise Capability Suite for compliance with the CMS Interoperability and Patient Access Final Rule.
Results Results
Lakeland staff can • View all of its member enrollment data from a single portal • Pull data from multiple systems • Securely send authorizations to the state’s TPA for Family Care programs
Lakeland’s providers can conveniently view authorizations and claims online.
Lakeland is CMS interoperability compliant.
Development of a provider management portal that replaced expensive off-the-shelf software and results in year-over-year cost savings.
Lakeland has a trusted IT partner as it envisions improvements in care, access to care, and stewardship of Medicaid dollars.
Testimonial
Testimonial
Our partnership with TESCHGlobal has allowed us to meet technical needs that we couldn’t allocate to internal resources. Each project is a collaborative effort, where they work to understand our needs with regular touch-base meetings and status updates throughout, and our IT team is involved to the extent possible. TESCHGlobal has been a valuable partner in helping us to meet goals and provide efficient tools to manage our day-to-day processes!
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