With diminishing public funding and increasing pressure to add value, HIEs are challenged to diversify and work on issues like patient identifiers. Data exchange, though, still remains hugely in demand. And it "needs to happen at scale faster."
A small uproar over provider networks in public insurance exchanges in Washington state has led to a proposed, controversial fix that, if adopted, has implications for other states, providers and insurers facing similar situations.
The Obama administration is boasting that 8 million Americans, including a good number of young people, have enrolled in public exchange plans. The big question now is how will new members fit into the risk adjustment puzzle?