Verifying Consumer Claims

HMS Healthcare Management SolutionsThe Affordable Care Act poses many forms of new regulations in the healthcare industry, including IT.  By October 1st, 2013 uninsured Americans will have access to a virtual market of affordable health insurance policies.  According to The Fiscal Times, “The Health and Human Services Department and the Centers for Medicare and Medicaid Services (CMS) are in the process of building and testing a complex “Data Hub” that will enable applicants and government officials to access a wide array of information that is essential to making the on-line insurance exchanges  work.”  Applicants will enter personal data into the website which will then refer them to an insurance company offering a personalized plan. The federal government will heavily rely on consumers’ self-reported information until 2015, when it plans to have stronger verification systems in place.  Alan R., Duncan, the assistant inspector general for audit at the Treasury department, warned that the government might miss its deadline.

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  1. Pingback: Monday Morning Recap | hmsabc

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