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Health & Human Services Systems

Health & Human Services Systems

Engineering and analysis for the systems behind Medicaid, eligibility, child support, child welfare and care delivery.

Systems that serve residents and patients every day.

Health and human services agencies run some of the most complex systems in government: eligibility rules that change with policy, case management across programs, and data that must be shared under strict privacy rules. Health providers and plans face their own version of this with EHR integration and claims data.

Our teams bring business analysts who know eligibility and case management, developers and testers for the platforms these systems run on, and data engineers who work with FHIR, HL7 and claims data. We design to HIPAA requirements and the privacy rules of each program.

Ways to engage
  • Managed project with defined deliverables
  • Embedded team with a Meritore delivery lead
  • Specialist consultant for a single role
  • Offshore development and support from Hyderabad
Discuss a project
What we deliver

Services in this practice

Eligibility and case management

Analysis, development and testing for integrated eligibility, child support, child welfare and adult services systems.

Health data interoperability

FHIR and HL7 interfaces, data exchange and API integration between agencies, providers and plans.

EHR integration

Integration with Epic, Oracle Health and athenaOne through their APIs and marketplaces.

Claims and quality data

Pipelines and analytics for claims, encounters and quality measures.

Business analysis for HHS programs

Requirements, policy-to-rules mapping and user acceptance testing support.

Testing for HHS systems

Automated regression testing for systems that change every legislative session.

Common starting points

Where clients usually begin.

Regression automation

Automating the test cases a case management team runs by hand before every release.

Interface build

A FHIR or HL7 interface between two systems that exchange records today by file or fax.

Requirements support

Business analysts to translate a new policy into system rules and test cases.

Technologies

Platforms and tools our engineers use.

PegaSalesforce Government CloudJava.NETHL7 v2FHIR R4SMART on FHIREpicOracle HealthathenaOneDatabricksSeleniumSQL

Discuss your requirement with a practitioner.

Send us the scope, contract vehicle and timeline. We reply within one business day.

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