Medicaid's Data Gets an Internet-Era Makeover

Medicaid will be teaming up with San Francisco start-up, Nuna, to build the multi-million patient database a secure home.

by STEVE LOHR, New York Times / January 11, 2017

Jini Kim’s relationship with Medicaid is business and personal.

Her San Francisco start-up, Nuna, while working with the federal government, has built a cloud-computing database of the nation’s 74 million Medicaid patients and their treatment.

Medicaid, which provides health care to low-income people, is administered state by state. Extracting, cleaning and curating the information from so many disparate and dated computer systems was an extraordinary achievement, health and technology specialists say. This new collection of data could inform the coming debate on Medicaid spending.

Andrew M. Slavitt, acting director of the Centers for Medicare and Medicaid Services, described the cloud database as “near historic.” Largely because Medicaid information resides in so many state-level computing silos, Mr. Slavitt explained, “we’ve never had a systemwide view across the program.”

This week, for the first time, Nuna’s executives are talking about the company’s funders, business strategy and work for Medicaid, starting on Monday evening at the J. P. Morgan Healthcare Conference in San Francisco.

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