The success of Covered California will be a barometer for the ACA nationally, and HIX officials are gearing up for a $100 million outreach and advertising campaign to find and enroll more than 2 million people.
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.
The North Carolina State Auditor found the health department's implementation of a new Medicaid claims system, slated to go live in July, lacking in testing, verification, documentation and benchmarks.
Opting against the VA's VistA, the Defense Secretary explained that "commercial alternatives may offer reduced cost, reduced schedule and technical risk, and access to increased current capability and future growth in capability."
Along with scaling its digital claims processing system, the VA is trying to get more veterans to file fully developed claims -- putting more documentation responsibility on vets, but promising a faster response at the same time.
A grant program is trying to help doctors, clinics and hospitals in rural California link to HIEs, so patients being referred for specialized care in urban areas can have their medical history follow them.
Despite the frustration and the jokes around iEHR, real data exchange is happening between the DoD and VA and the potential to build on that for the future resides in creatively using resources built in the past.