The Medicare Electronic Application Request Information System (MEARiS) is a data management tool built for two business groups, the Technology Coding and Pricing Group (TCPG) and Hospital Ambulatory Policy Group (HAPG), to submit, adjudicate, and manage annual applications within each application module and provide flexibility to expand operational activities and reduce user burden. It was designed to modernize paper-based manual workflows and automate very complex manual application processes.
WHAT ARE WE DOING?
The shift from a paper-based collection system to a user-focused digital platform that supports application submission, communication, revision, and inter-team collaboration has been hugely successful and met with incredible gratification by all users. The serverless architecture has led to further:
They also required a manual process to carry out very complex application submission/update and operational activities, including hardcopy and email data submissions. Reducing user burden on the technology vendors and teaching hospitals, industry partners, and CMS program staff to manage the annual application processes for the rapidly growing user base was a high priority, as well as integrating an application’s modules to allow them to work in tangent with one another to serve a larger number of applicants submitting documents for new and more complex programs.
“Really impressed with the design, flow, and functionality.”
– MEARiS User
MEARiS is a web-based, workflow-driven system. Its serverless, cloud-based architecture introduces top-tier flexibility through modern, open-source technologies. Using an AWS Lambda-connected Amazon API gateway, the scalable system can support periodic workload peaks. The MEARiS tool suite also includes Amazon Simple Storage Service (S3), Amazon Relational Database Service (RDS), Amazon DynamoDB, and Amazon CloudWatch for its data management; AWS Secrets Manager for added security; AWS Simple Notification Service (SNS) and Amazon Simple Queue Service (SQS) for notifications and other messaging; and AWS CodeBuild for continuous integration and delivery, with AWS CodeDeploy recently added to this roster.
Completely on line self guided submission with intermittent save capability
Multiple users can provide data for the same application
Speciflcy role based acces control for sensitive data
Secured online record access, maintenance, sharing, and communication
Single view for upcoming tasks, recent applications, and processing metrics
Serverless architecture lends itself to cost savings in infrastucture deloyment and maintenance.
What we did
"We appreciate the work that the team has put into the design of this module so far, and we also appreciate working with the team."
– MEARiS Administrator
With MEARiS, we took heavily siloed and manual processes and created an integrated system with enhanced self-service features and flexible operational activities, including customizable dashboards. We unified functionality across the 14 system modules using a multi-tenancy design, allowing for rapid, real-time data processing and exchange for its growing userbase. By implementing the container-based microservices architecture, we reduce infrastructure cost and avoid upfront licensing costs.
The Results/Metrics (numbers)
"This is fantastic, I can't tell you how excited I am to be able to submit applications online, and I'm looking forward to other applicants like N-TAP."
– MEARiS User
Applications that will go live
Available for public use
USERS Currently using MEARIS ™
Medicare beneficiaries served