Universal HealthcareBy NextBestFit
Phase 1: Enactment & build · Step 1.3

Build the claims, payment & data systems

Months 0–18, then continuous · UHA Chief Information Officer; MACs; U.S. Digital ServiceDiscuss this step

Every existing law, program, institution, or practice this step changes: what it is today, what happens to it, when, and what that costs or trades off.

WhatTodayChangeTrade-off
Revenue-cycle, clearinghouse & claims-editing vendors
endsYears 1–4
Private sector
A large industry handling billing, denials, and claim scrubbing.Most demand ends; some vendors contract with UHA.~72k jobs displaced; providers' overhead falls.
X12 claim transactions (837/835/270/271) across payers
replacedYear 0–1
Data & technology
Thousands of payer-specific companion guides and edits.One national standard, one set of edits, real-time eligibility API.Huge simplification; single point of failure.