To prove that PCMS could address these problems and improve the quality of healthcare, SES customized the system throughout the 2018 and 2019 period. During the 16-month program, approximately 50 Medicaid recipients were issued MMPP tokens to use at the point-of-service during all episodes of care administered by one participating healthcare provider.  The process of dealing with the physicians, healthcare systems, Managed Care Organizations, Electronic Healthcare Records (EHR) vendors, and multiple related state related healthcare data bases gave a clear understanding of the problems facing the current Medicaid Programs within the U.S.

Not only was the system effortlessly implemented by the provider, it also proved to be extremely user-friendly for patients.  And the most noteworthy outcome of the program was the fact that it enabled three Meaningful Use Stage Three Measures and Objectives to be met, as mentioned, and satisfies 3 of the 4 major areas of the 21st Century Cures Act:

  • Interoperability
  • Mental Health

In addition, through further analysis of the potential savings to the Medicaid program across Missouri and by using U.S. government estimates on fraud, waste and abuse within the current healthcare system, the cost savings are significant. 

By providing eligibility at the point of service, providing the tracking of the patient and time spent with the physician, and near real-time prescription data, the anticipated annual savings when implemented throughout Missouri’s Medicaid program is estimated to be in excess of $1 billion, which would have a significant impact on Missouri’s expanding Medicaid budget.