The EDI and Integration Impact of The Affordable Care Act

Posted by Brad Loetz on Apr 26, 2010 10:50 AM


health-insurance-deleteThe health care reform law has business and data integration implications that, while not completely understood at this point, will involve intense integration requirements. Some integration requirements will unfold over time due to the rule making authority that exists in the law which empowers certain DHHS and other officials to mandate health care processes, procedures, and standards in the name of efficiency. Other integration requirements are explicit in the law and include a significant revamp to HIPAA transaction standards, the creation of new document standards, the creation of a unique health plan identification number, electronic claim payment/remittance, and utilization of electronic medical records, to name just a few.

Regardless of your favor or distain for this law, it is likely it will impact your organization in some way. More on how the law might specifically impact Integration professionals in blogs to come.