Rich and positive experiences is referenced in this article and I would like to know who really gets that today? Does anyone or are we constantly working with 
innovation and forgetting the collaboration part of this scheme? As technology throws us a new left curve every day, new concepts develop and then we have 20 or so companies working toward the same goals, but with different code and structure. We all know, or should know by now that the government is playing catch up after 8 years of not much being done while private industry continued working on their systems, and thus we have insurance companies that do all the data work. The largest Medicare contractor is owned by a subsidiary of Wellpoint so they are all intermingled for the most part and those folks have the system and the data.
The exchanges are a good thing and a goal to work towards, but by the time a new lot of information and aggregation of data enters the picture, what are they going to look like? I don’t quite think any of us can get a grasp on that totally, but it’s sure hanging out there in the wind as a proof of concept doesn’t quite get it today without some pilots running to test the water, in other words the beta club.
Innovation Without Collaboration Is Fouling Up The US Healthcare IT System–We Need Both As We Can’t Stand on Innovation Alone
All of this has to work with pharmaceutical companies too as new drugs are approved as well as devices and sometimes their cost is a bit late coming to the table, not due to anyone’s fault, but rather as items become approved. The more complicated we build a system, the more complicated it is to use. We have many choices today and it would be nice to see more common roads chosen and granted standards are starting to help out, but add in mHealth to the whole scenario too and we have a mess and nobody can seem to figure out why everything is so fractured.
We have politicians talking about repealing healthcare reform? Systems and 
processes have already been put in place and that costs money, Health IT money but in all the research I do it seems like there’s just a flurry of grants flying right and left, and headed toward good projects, but they don’t talk to each other much.
This brings me back to the intent of the post with the Medical Group Management Association's annual conference keynote from Dr. Bill Crounse of Microsoft and he makes the point very well in the fact that the need for the $150 million dollar systems need to come to a close – collaboration with innovation will be the winner as innovation alone as we are seeing is leading to nothing more than a further fragmentation of our systems and goals. We can do this too without relying totally on mergers and acquisitions to drive all of this at the last minute and as Dr. Crounse mentions complicated systems now becoming a safety issue, and we are also seeing an increase in the use of scribes to deal with this complexity.
When it comes to top level management with CIOs and CTOs in time, there are going to be very few that want the pressure cooker as this is a tough place to be today and somewhat thankless too as politicians who are the big “non participants” in general digital IT literacy drive a lot of this and sometime they don’t look very smart when knowledge is needed and we end up with open mount and insert foot. This is the reality below.
China Hits the #1 Spot for Computer System Performance–Cray XE System in US Still Hot and Plays a Role with High Frequency
Here’s the more than likely next battle with finding blame and poking fingers with Dr. Berwick I might guess, and would love to be surprised to see otherwise but won’t hold my breath on this as it’s back to the soap opera antics I’m afraid is what we will see.
Medicare Chief Berwick Scheduled to Testify Before Senate Finance Committee Next Week- A Witch Hunt or Collaboration?
Everyone these days seems to have some tie in to cost, and I mean real cost and not just making a budget except in Washington where the rules seem to change or not exist. They cost us money too, like look at the legislation over the doctor Medicare cuts. Get some Algo Men for some real help to break it down as accounting is a good start but is not the only tool to be used.
More Congressional Testimonies About Health IT–Members of Congress Could Entertain Getting an “Algo Man” on Staff As Wall Street and Health Insurers Have Them–Don’t Leave Home Without One
Without understanding today’s complicated algorithmic processes, one can be fooled easily as there are formulas that are accurate and those that create desired results. 
“Proofiness–The Dark Side of Mathematical Deception”–Created by Those Algorithms–New Book Coming Out Soon
Until such time I guess until some in positions of authority realize that algorithms cost money to build, we are not going to see much progress but rather the constant bickering and soap opera, while the world keeps moving ahead and we may continue to fall further behind. All this data management and manipulation takes money but the bliss and non participants seem to have a way of “blanking” that end of things out with less than general consumer digital literacy. BD
In order to offer viable electronic marketplaces by 2014 to help people purchase health insurance, states must set up common integrated IT systems capable of sharing client eligibility and enrollment records across multiple health and human services programs, federal health IT executives say.
In doing so, states will focus on the core functions of a health insurance exchange, said Henry Chao, chief information officer of the Office of Consumer Information and Insurance Oversight (OCIIO) in the Health and Human Services Department.
Those include eligibility, enrollment, administration of premium tax credits and simplifying cost-sharing, said Chao, whose office was created by the health reform law to help establish the state health insurance exchanges.
At the same time HHS will need to generate massive support in the next three ears from many public and private organizations for its ambitious plan to be successful.
On Oct. 29, HHS announced that it will fund “early innovator” grants for up to five state insurance exchange IT models that all states will be able to use.
http://www.govhealthit.com/newsitem.aspx?nid=75070
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