Week 3: Health and human services IT

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Slides for the course "Technology in the Public Sector" at Northwestern University, MPPA program, Summer 2012

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Week 3: Health and human services IT

  1. 1. technology in the public sectorweek 3: health and human services IT Northwestern University MPPA 490 Summer 2012 - Greg Wass 1
  2. 2. 1. Affordable Care Act: Health Insurance ExchangesThe Affordable Care Act requires states to providestatewide health insurance exchanges--marketplacesthat allow families to qualify themselves by income andstatus to determine what kind of insurance they areable to obtain at what rates. (Health insuranceexchange is sometimes abbreviated HIX.)View: www.healthcare.gov 2
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  4. 4. Source: Kaiser Family Foundation, accessed 7/5/12 at http://www.statehealthfacts.org/comparetable.jsp?ind=125&cat=3 4
  5. 5. Source: Kaiser Family Foundation, accessed 7/5/12 at http://www.kff.org/medicaid/quicktake_aca_medicaid.cfm 5
  6. 6. Source: Kaiser Family Foundation, accessed 7/5/12 at http://www.kff.org/medicaid/quicktake_aca_medicaid.cfm 6
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  9. 9. 2. HITECH: Health Information ExchangesThe HITECH Act (Health Information Technology for Economicand Clinical Health Act--part of the American Recovery andReinvestment Act of 2009) requires states to establish HealthInformation Exchanges (HIE) to provide for the exchange ofpatient information among doctors and hospitals.HIEs are initially funded through ARRA federal grants, but mustbecome financially self-sustaining. States are working withhospitals and local exchanges to put HIEs in place.The Medicaid incentive plan encourages the implementation ofelectronic health record (EHR) systems at hospitals and doctorsoffices. Key to EHR adoption and the Medicaid incentive is the"meaningful use" of EHR in a clinical setting. 9
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  11. 11. Source: New York Department of Health, retrieved 7/5/12 from http://www.health.ny.gov/technology/projects/vision.htm 11
  12. 12. Source: GE Healthcare, retrieved 7/5/12 from http://ehealth.gehealthcare.com/ehealth-products/ 12
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  15. 15. 3. Medicaid Information Technology Architecture (MITA)MITA is important because it presents an "architecture"for how to build Medicaid and related systems at thestate level. If states (and their vendors) comply withMITA architecture, they receive a 90% federal matchfor system costs.The MITA concept has recently been extended intoeligibility determination systems because of the largeinflux of newly Medicaid-eligible people under theAffordable Care Act. 15
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