16
Playing the Numbers 1 Success from Persistence
Playing the Numbers
1
Success from Persistence
Getting to PARIS
• Placing Penny Bets• How Much to Open• Shutout• The Big NO• The Why (Not)• Going for the Action
• Iowa Hold ‘Em• Smart Money• Ace in the Hole• The Parlay• Come on Baby!
2
Placing Penny Bets
• 1997 participated in a small pilot for TANF– 53 matches – none of them an Iowa claim– Cumbersome data manipulation
• Deemed cost/benefit loss• Lost the penny toss
3
How Much to Open
2005 • PARIS Board visit – calls - emails• National Directory of New Hires
– Labor intensive – negative results– Expensive data– Negatively impacted desire for PARIS
4
SHUTOUT
• 2006 – Developed a proposal for one of the PARIS implementation grants
• Limited internal support• Some technical assistance• Got to the window too late
5
The BIG NO
• PARIS Board visit• DC Iowa office questions• Washington State (Bill) questions• Extensive report in response to Dept
Inspections and Appeals and Governor’s office
6
The Big NO!!
7
The Why (Not)
• Quality Control error rates• Known to Agency• Confidentiality• Jockeying for IT position• Waiting on technology• Lack of resources to work the data
8
Going for the Action2009 Breakthrough!
– MOU signed for Interstate and VA– Interstate data pilot
2010 Charter and Study Group!CMS Directors Letter
9
Iowa Hold ‘Em
• Manual data review• Inability to act on data• Folded on new VA MOU• Minimum required effort• Responding only to other States• Cumbersome PARIS “Hotline”
10
Smart Money
• Data wise guy • Triple state matches• Double SNAP matches • SNAP out of state usage
11
Ace in the Hole
• Let the data do the talking• Investigators on board• Wisconsin data exchange• Articulating the Dream
– Again and again and again…….
12
The Parlay
• It’s ALL about Program Integrity• Integrated Claims Unit• VA interest• Support grows
13
Come On and Make My Day
• Getting the funding• Design event• Building the Unit• Implementation
14
State Matches
15
Data Submitted
SSN Submitte
d Matches
2 + Other States
30 Day Delay
MatchesMay-09 494,612 2836 2604Aug-09 511,958 4142 30 3089Nov-10 527,284 3816 34 975Feb-10 541,444 4318 33 3710
May-10 557,161 3545 32 2947Aug-10 563,092 4812 31 4797Nov-10 581,967 4486 41 3636Feb-11 584,702 4486 36 4247
May-11 598,613 4338 30 3413Aug-11 600,175 5818 33 4470Nov-11 612,631 0 0 0
