A pediatrician, HIE director and former insurance executive will the lead the agency that regulates everything from medical marijuana to oil and gas drilling -- as a key division recovers from charges of mismanagement and bias.
While states such as Louisiana are "trying to move the dial," toward more robust exchange, one official said during a CMS panel Friday, some people "will feel the slow progress is somewhat of a shortcoming."
Less than 25 percent of HIEs can cover their operating costs through user revenue, and HITECH funding will run out later this year. Boosting participation by payers (a key beneficiary of HIE) is one solution, a study suggests.
In part because of the ruling and in part because of diverse state interests, there is a national mosaic of health law: employer taxes based on Medicaid expansion, experimental Medicaid-exchange policies and unanswered questions about federal preemption and state single payer programs.
Even if the nonprofit that manages Vermont's HIE retires in 2015 when its state funding sunsets, the investment will have provided a fairly successful return in bringing the state's delivery system into the digital age.
Frequently, healthcare entities focus on how the EHR will work, rather than what frontline clinicians will do with it, which creates growing user frustration, extended adoption times and increased costs. But with proper planning, an effective paper to pixel transition is possible.
This week in Government Health IT: Reports expose state and local governments as ill-prepared, whether that be for Big Data or cyber-attacks. Also, think tanks talk patient-centered care for cost-savings.
While the design of the state's single payer plan may not be unveiled by the Governor for a few years, Vermont Health Connect officials see the exchange's IT and consumer assistance program as "a road, not a detour," to single payer and universal coverage.
Vermont's HIE, managed by the nonprofit Vermont Information Technology Leaders, is seen as an enabler for the coordination and quality assurance the state will require of providers, as it moves to a largely single payer system in 2017.