1. General Services Department
Risk Management Division
Medical Claims Data Analysis Tool
(MCDAT Data Warehouse)
Project Certification- Close Out Phase
October 24, 2012
11/8/2018

2. MCDATE PROJECT OVERVIEW
Project Objective/Goal
Consolidate three years of medical and prescription claims data into a centralized data warehouse
Data consists of claims from over 65,000 members (employees and dependents) enrolled in the Risk Management Division’s (RMD) four (4) medical plans and one (1) prescription plan
Data analysis software will combine vendor’s claims into a single warehouse and provide;
trending of overall cost medical utilization & measure quality health care indicators
analysis of overall treatment patterns & review overall provider efficiency
a qualified fraud tool
data and query capabilities & standardize data from a consolidated platform
State Healthcare Purchasers targeted to join this enterprise project
Retiree Healthcare Authority
Public School Insurance Authority
Albuquerque Public Schools
11/8/2018

3. MCDAT PROJECT OVERVIEW
Business Problem and Opportunity
Meet critical oversight as a large New Mexico plan sponsor of the State’s self insured medical and prescription benefit programs
Improve accountability of carriers
Report universal health care trends
Assist in contractual and provider evaluations
Identify health care status and needs of state employees and their dependents
Project Progress
RFP Draft Document
Project Team Identified
Discussion with Healthcare Purchasers
Business Needs Defined
Systems Analysis Completed
11/8/2018

4. MCDAT BUDGET/PROJECT SCHEDULE
BUDGET STATUS: No monies were expended on this project
11/8/2018

5. MCDAT PROJECT DELIVERABLES
Budget Status: No monies were expended on this project.
Major Project Deliverables
Budget
Date
Project Phase
RFP for software and implementation services was drafted and submitted to SPD for final approval but was never released per request of Procuring Division
$350.00
12/08
Initiation
Business Requirements defined
6/08
Project Manager quotes received
$80.0
1/09
IV&V contract deliverables defined and request for pricing sent to vendors
2/09
Planning
Discussion held with IBAC and RHCA to review RFP draft and further define enterprise business needs
3/09
Review and demo of RHCA current claims analysis system to determine migration feasibility. Discussion held with RHCA system vendor.
4/09
11/8/2018

6. MCDAT PROJECT CLOSE OUT
GSD Risk Management Division respectfully requests that this project be closed out by consensus.
GSD Risk Management Division will pursue funding for this project again in FY14.
11/8/2018