Goold Health Systems Partners with Unisys on Maine Medicaid Deal

Healthcare Management Company Advances Its Commitment to the State of Maine

Publish date: 02/04/2009

Augusta, ME — Goold Health Systems (GHS), a healthcare management company focusing on Medicaid services, recently signed a subcontract with Unisys Corporation to provide prior authorization, data management, and mailroom services for Maine’s Medicaid program. GHS will support the Unisys implementation of a new Medicaid management information system, Maine Integrated Health Management Solution (MIHMS).

“We are pleased to partner with Unisys on this important work, which is ultimately about designing a healthcare system that further positions Maine to provide affordable, appropriate, and quality care to Maine Medicaid recipients,” said Jim Clair, CEO of Goold Health Systems. “We look forward to providing continuity to the Office of MaineCare Services and its provider community, as well as to working with Unisys to advance clinical functionality, as this is one of our specialties.”

As part of Unisys’s seven-year contract with Maine, Goold Health Systems will:

  • Capture all paper medical claims submitted for Medicaid benefits, as it has for decades;
  • Continue providing mailroom services for all incoming/outgoing processing;
  • Capture all documents, such as correspondence, and make that available electronically to Unisys and state staff; and
  • Beyond these traditional services, Goold Health Services will also handle medical prior authorizations processing and provide related clinical consultation during the implementation phase.

While Goold Health Systems has worked extensively with the State of Maine and states throughout the nation on the healthcare management front, this contract marks the company’s first collaborative effort of this magnitude.

“We are pleased to be working with Goold Health Systems to help ensure that the State of Maine and its Medicaid providers consistently receive excellent service,” said Teresa DiMarco, President of Unisys’ Health Information Management unit. “Goold will play an important role in efficient and effective administration of the program.”

Maine’s new Medicaid information system, MIHMS, is expected to go live in February 2010. In the interim, Goold Health Systems will work with Unisys and the state team to support implementation of the system.

Goold Health Systems is a national leader in the complex and unique world of Medicaid Management. Privately held and affiliated with the Waldron Group of Companies, it specializes in providing pharmacy benefit services, clinical services, nurse assessing services, and data capture services to State Medicaid agencies, nonprofit organizations, and private sector clients. Founded in 1974, Goold Health Services is headquartered in Augusta, Maine, with offices in Des Moines, Iowa, and Cheyenne, Wyoming (2009). For additional information about the company, visit www.ghsinc.com.