- During the Eleventh Special Session, senators questioned GMH leaders about replacing a 20-year-old EHR that is at risk of failure and cannot interoperate with modern systems. - GMH has a working RFP ready to release within a week or two pending certification of funds, with full acquisition and landing of the new platform estimated at about 18 months. - The legislature debated two acquisition models—a standalone enterprise system costing $130-170M versus a hosted or affiliated model at $35-65M—with no decision yet made. - GMH currently pays $1.22M annually to Medsphere for CareView and maintains three separate EHR systems due to failed…
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- Commonwealth Medicaid Director George Cruz detailed a history of paper-based, backlogged operations with five years of unadjudicated claims and over $40 million in potential provider payments. - The agency secured CMS authorization for approximately $18.3 million in modernization activity, including $15.9 million in federal funding to replace legacy and manual processes. - CMA closed an RFP for a modernized eligibility and enrollment system intended to reduce administrative burden and accelerate eligibility determinations. - Director Cruz and MES Manager Vince Castro are asking the legislature to restore the zeroed-out MES operations…
