SME Engagement & Staffing

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Case Study: Axon Advisors' Staffing Support for Managing Medicaid PA and UM Services

INTRODUCTION

A leading healthcare vendor sought assistance in managing the day-to-day operations of Prior Authorization (PA) and Utilization Management (UM) services for Indiana Health Care Programs (IHCP). The objective was to ensure quality PA and UM decisions for all IHCP enrollees, including those under the managed care portion and the FFS mechanism.

Challenge or Problem Statement

The prime contractor faced staffing and resource constraints in managing PA and UM services for Indiana Medicaid beneficiaries.

Solution

Axon Advisors delivered a tailored staffing solution to meet the vendor’s needs:

- Provided skilled nurses with expertise in PA and UM processes, ensuring thorough review and determination of requests.

- Deployed experienced healthcare professionals familiar with Medicaid regulations and policies to ensure compliance and quality assurance.

- Offered flexible staffing options to scale resources according to fluctuating demand, ensuring optimal coverage during peak periods.

- Implemented rigorous training programs to onboard staff quickly and efficiently, minimizing transition time and ensuring seamless integration into the contractor’s operations.

Implementation

The implementation of Axon Advisors' staffing solution involved the following steps:

- Collaborated closely with the contractor’s to understand specific staffing requirements, including skill sets, experience levels, and scheduling preferences.

- Recruited qualified nurses and healthcare professionals through a rigorous selection process, ensuring alignment with the contractor’s needs and values.

- Established clear communication channels and reporting structures to facilitate ongoing collaboration and feedback between Axon Advisors' staff and the contractor’s management team.

Results and Benefits

The partnership between Axon Advisors and the prime vendor yielded tangible results and benefits:

- Increased efficiency and productivity in PA and UM services through the deployment of skilled and knowledgeable staff.

- Enhanced compliance with Medicaid regulations and policies, mitigating the risk of errors and penalties.

- Reduced burden on the contractor’s internal resources, allowing the organization to focus on core operations and strategic initiatives.

- Overall, Axon Advisors' staffing solution enabled the contractor to effectively manage PA and UM services for Indiana Medicaid members, ensuring high-quality care and optimal outcomes.

Through its expertise in healthcare staffing, Axon Advisors supported the vendor in overcoming staffing challenges and achieving operational excellence in PA and UM services for Medicaid beneficiaries in Indiana.

Case Study: Staffing Support for Statewide GIS Data Management System for Indiana Geographic Information Office (IGIO)

INTRODUCTION

Axon Advisors collaborated with a prime vendor to support the Indiana Geographic Information Office (IGIO) in enhancing their statewide GIS data management system. The IGIO, operating under the Indiana Office of Technology (IOT), sought to improve their existing "Data Harvest" program, which collects spatial datasets from each county and consolidates them into statewide datasets. The goal was to develop a web-based system to facilitate data submission, validation, and aggregation, with a focus on compliance with Next Generation 9-1-1 (NG9-1-1) data standards.

Challenge or Problem Statement

The IGIO faced challenges in validating and improving the spatial datasets submitted by counties, ensuring compliance with NG9-1-1 standards, and aggregating data into statewide datasets. Manual validation processes were time-consuming and prone to errors, hindering efficient data management and emergency response efforts.

Solution

Axon Advisors provided a highly skilled GIS Technician to review, analyze, and query spatial data and tables. This subject matter expert played a pivotal role in the development and implementation of a comprehensive GIS data management system. The solution included:

Leveraging the expertise of the GIS Technician to define validation rules and system requirements based on Indiana's data schemas and NG9-1-1 standards.

Customizing the platform to accommodate Indiana-specific requirements and ensure seamless integration with existing GIS software.

Providing training and support to system users, empowering them to effectively utilize the platform for data submission, validation, and aggregation.

Collaborating with IGIO and IOT throughout the implementation process to address any technical challenges and ensure alignment with project objectives.

Implementation

The implementation process involved:

Utilizing the GIS Technician's expertise to configure the platform, develop custom validations, and ensure compatibility with ArcGIS Map or Pro.

Integrating the subject matter expert into the project team, facilitating communication and collaboration between stakeholders.

Employing the GIS Technician's attention to detail and strong communication skills to identify and address any issues or discrepancies during the implementation phase.

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Results and Benefits

The collaboration between Axon Advisors and the prime vendor, facilitated by the expertise of the GIS Technician, yielded significant benefits for the IGIO and participating counties, including:

Streamlined data submission and validation processes, reducing manual effort and errors.

Improved data quality and compliance with NG9-1-1 standards, enhancing emergency response capabilities.

Enhanced user experience through comprehensive training and support, maximizing the utility of the GIS data management system.

Increased efficiency in statewide data aggregation and cross-jurisdiction validation, facilitated by the GIS Technician's expertise in spatial data analysis and GIS data schemas.

Seamless integration with existing GIS software, ensuring compatibility and ease of use for system users.

Overall, the contribution of the GIS Technician provided by Axon Advisors played a crucial role in the successful implementation of the GIS data management system, enabling the IGIO to achieve its objectives of improving data quality, interoperability, and accessibility for emergency response and statewide planning initiatives.

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Engaging with SMEs Case Studies

Case Study: Enhancing Equity Research with Expert Insights

INTRODUCTION

Axon Advisors, a leading consultancy firm in the finance sector, specializes in providing access to subject matter experts (SMEs) for equity research analysts. With a focus on quality over technology, Axon offers in-depth interviews, SME attendance at client events, and surveys to aid analysts in their research endeavors.

Challenge or Problem Statement

Equity research analysts often face challenges in accessing reliable and timely information to make informed investment decisions. Traditional research methods may not always provide the depth of insight required, leading to potential blind spots in analysis and decision-making.

Solution

Axon Advisors addresses this challenge by offering direct access to SMEs who possess specialized knowledge in various industries. Through in-depth interviews, SME attendance at client events, and surveys, Axon ensures that analysts have access to comprehensive and up-to-date information to enhance their research process. By focusing on quality rather than technology, Axon's approach emphasizes the human element of research, yielding more valuable insights for clients

Implementation

The implementation of Axon's solution involves a customized approach tailored to each client's specific needs. Axon works closely with equity research teams to understand their research objectives and identify the most relevant SMEs to engage with. Through a hands-on approach, Axon facilitates direct interactions between analysts and SMEs, ensuring a seamless integration of expert insights into the research process.

Results and Benefits

The partnership with Axon Advisors has yielded significant benefits for equity research analysts. By accessing SMEs directly, analysts can gain deeper insights into industry trends, competitive dynamics, and emerging opportunities. This enhanced research process has enabled analysts to make more informed investment recommendations, resulting in improved portfolio performance and client satisfaction. Moreover, Axon's emphasis on quality ensures that analysts receive reliable and actionable insights, setting them apart in a competitive market landscape. Overall, Axon's commitment to providing access to expert knowledge has proven invaluable in empowering equity research teams to navigate complex market conditions and deliver superior outcomes for their clients.

Case Study: Enhancing CMS Interoperability Standards Compliance

INTRODUCTION

A leading provider of Medicaid and CHIP Fee for Service (FFS) solutions, sought to align with the State of Indiana's requirements to comply with CMS interoperability standards (CMS 9115-F and CMS 0057-P). These regulations aimed to enhance access to health data for patients and providers, necessitating robust solutions that integrate seamlessly with existing systems.

Challenge or Problem Statement

The prime contractor faced the challenge of ensuring compliance with the intricate and evolving CMS regulations, 9115-F and 0057-P. The rules mandated the implementation of secure, standards-based Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR) APIs for Patient Access and Provider Directories, along with streamlining prior authorization processes. Meeting these requirements demanded expertise in federal regulations, healthcare IT, and business analysis to navigate the complexities effectively.

Solution

Axon Advisors provided a Subject Matter Expert (SME) with extensive experience in healthcare IT, federal regulations, and interoperability standards. Leveraging the SME's profound knowledge, the contractor crafted a tailored solution to comply with CMS mandates efficiently. The SME's expertise in HL7, FHIR, and regulatory compliance proved instrumental in developing robust APIs for patient access and provider directories, aligning seamlessly with CMS guidelines. Additionally, their proficiency in prior authorization processes optimization ensured the solution addressed all facets of the regulatory landscape comprehensively.

Implementation

The implementation process involved close collaboration between Axon's SME and the prime contractor’s team. Through meticulous requirements gathering and analysis, the SME identified key components necessary for CMS compliance. Leveraging their experience in HL7 working groups and previous interoperability projects, they guided the development of APIs and identity, access, and consent management solutions tailored to the contractor’s specific needs. Continuous adaptation to evolving CMS and ONC standards ensured the solution remained current and aligned with regulatory updates.

Results and Benefits

The collaboration between Axon Advisors and the prime contractor yielded tangible results and benefits:

- Comprehensive Compliance: the contractor achieved full compliance with CMS interoperability standards (CMS 9115-F and CMS 0057-P), ensuring adherence to regulatory mandates.

- Enhanced Data Accessibility: The implemented solution facilitated improved access to health data for patients and providers, fostering better care coordination and decision-making.

- Streamlined Processes: Optimization of prior authorization processes led to reduced administrative burden, enhancing operational efficiency for both payers and providers.

- Future-Readiness: By incorporating evolving standards and guidelines, the contractor’s solution remained adaptable to forthcoming regulatory changes, ensuring long-term compliance and relevance.

In conclusion, Axon Advisors' collaboration empowered the prime vendor to navigate the complex landscape of CMS interoperability standards successfully. Through the expertise of the provided SME and a tailored solution approach, the contractor not only met current regulatory requirements but also positioned itself for continued success in an evolving healthcare environment.

Case Study: Axon Advisors' SME Support for HCBS Waiver Redesign in Indiana

INTRODUCTION

Axon Advisors partnered with a prime contractor to support the State of Indiana's Family and Social Services Administration (FSSA) in transitioning their Medical Waivers to new divisions. This involved providing a subject matter expert (SME) proficient in staff transition management, training development and implementation, policy review, and broader research tasks.tnered with a leading health policy consulting group to conduct a qualitative research study evaluating Indiana's Healthy Indiana Plan (HIP) commissioned by the State of Indiana, aimed at gathering insights into healthcare access, utilization, and outcomes among its members.

Challenge or Problem Statement

FSSA encountered challenges in executing the transition of Medical Waivers while ensuring compliance with HCBS rules and promoting community integration for individuals with intellectual and developmental disabilities (ID/DD). The need for expertise in staff transition management, training development, and policy review posed significant obstacles to achieving the goals outlined in the SOW.

Solution

Axon Advisors delivered a highly qualified SME with extensive experience in staff transition management, training development and implementation, policy review, and broader research tasks relevant to ID/DD services. The SME worked closely with FSSA to understand their specific needs and challenges, providing targeted expertise. Through comprehensive analysis and strategic guidance, the SME facilitated the development of effective strategies and solutions to achieve the desired outcomes.

Implementation

The implementation process involved the seamless integration of the SME into the contractor’s project team. The SME conducted thorough reviews of relevant program policies, state rules and statutes, and conducted broader research tasks as requested. She collaborated with key stakeholders to develop and implement tailored training programs for staff, ensuring they were equipped with the necessary skills and knowledge for the transition. Additionally, the SME provided ongoing support and guidance throughout the implementation phase, ensuring that all activities were aligned with the goals of the project.

Results and Benefits

Axon Advisors partnered with a leading health policy consulting group to conduct a qualitative research study evaluating Indiana's Healthy Indiana Plan (HIP) commissioned by the State of Indiana, aimed at gathering insights into healthcare access, utilization, and outcomes among its members.

By leveraging Axon Advisors' SME placement services, FSSA successfully navigated the complexities of transitioning their Medical Waivers to new divisions. The SME's contributions played a pivotal role in achieving the goals of the project, including compliance with HCBS rules, promotion of community integration for individuals with ID/DD, and the development of effective training programs for staff. The collaboration between Axon Advisors and the prime contractor resulted in measurable outcomes, including improved staff readiness, enhanced service quality, and better outcomes for individuals with ID/DD in Indiana.

Overall, Axon Advisors' delivery of a subject matter expert enabled FSSA to overcome challenges and achieve success in their Medical Waiver transitions, ultimately improving services and outcomes for individuals with ID/DD in the state.

SME Engagement & Staffing

Case Study: Axon Advisors' Staffing Support for Managing Medicaid PA and UM Services

Case Study: Staffing Support for Statewide GIS Data Management System for Indiana Geographic Information Office (IGIO)

Engaging with SMEs Case Studies

Case Study: Enhancing Equity Research with Expert Insights

Case Study: Enhancing CMS Interoperability Standards Compliance

Case Study: Axon Advisors' SME Support for HCBS Waiver Redesign in Indiana

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