The document discusses key changes in health and human services driven by the Affordable Care Act, which mandates states to set up health insurance exchanges. It also covers the HITECH Act, requiring the implementation of health information exchanges to facilitate patient information sharing among healthcare providers. Lastly, it addresses the Medicaid Information Technology Architecture (MITA), which outlines system construction for Medicaid and offers financial incentives for adherence.

1. technology in the public sector
week 3: health and human services IT
Northwestern University MPPA 490
Summer 2012 - Greg Wass
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2. 1. Affordable Care Act: Health Insurance Exchanges
The Affordable Care Act requires states to provide
statewide health insurance exchanges--marketplaces
that allow families to qualify themselves by income and
status to determine what kind of insurance they are
able to obtain at what rates. (Health insurance
exchange is sometimes abbreviated HIX.)
View: www.healthcare.gov
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4. Source: Kaiser Family Foundation, accessed 7/5/12 at http://www.statehealthfacts.org/comparetable.jsp?ind=125&cat=3
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5. Source: Kaiser Family Foundation, accessed 7/5/12 at http://www.kff.org/medicaid/quicktake_aca_medicaid.cfm
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6. Source: Kaiser Family Foundation, accessed 7/5/12 at http://www.kff.org/medicaid/quicktake_aca_medicaid.cfm
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9. 2. HITECH: Health Information Exchanges
The HITECH Act (Health Information Technology for Economic
and Clinical Health Act--part of the American Recovery and
Reinvestment Act of 2009) requires states to establish Health
Information Exchanges (HIE) to provide for the exchange of
patient information among doctors and hospitals.
HIEs are initially funded through ARRA federal grants, but must
become financially self-sustaining. States are working with
hospitals and local exchanges to put HIEs in place.
The Medicaid incentive plan encourages the implementation of
electronic health record (EHR) systems at hospitals and doctors'
offices. Key to EHR adoption and the Medicaid incentive is the
"meaningful use" of EHR in a clinical setting.
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11. Source: New York Department of Health, retrieved 7/5/12 from http://www.health.ny.gov/technology/projects/vision.htm 11

12. Source: GE Healthcare, retrieved 7/5/12 from http://ehealth.gehealthcare.com/ehealth-products/ 12

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15. 3. Medicaid Information Technology Architecture
(MITA)
MITA is important because it presents an "architecture"
for how to build Medicaid and related systems at the
state level. If states (and their vendors) comply with
MITA architecture, they receive a 90% federal match
for system costs.
The MITA concept has recently been extended into
eligibility determination systems because of the large
influx of newly Medicaid-eligible people under the
Affordable Care Act.
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