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

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Task 1.3.1 of 8

Inventory Medicare's Fiscal Intermediary Shared System (FISS), Multi-Carrier System (MCS), Common Working File (CWF), and the DME system; decide extend-vs-replace for each.

Who does it

UHA CIO

When

Month 0–3

Trade-off

Extending Medicare's legacy systems is faster than a rebuild but carries decades-old technical debt.

Part of: Build the claims, payment & data systems

Scale Medicare's existing fee-for-service claims infrastructure from about 1.3 billion to about 5 billion claims a year, add hospital global-budget payments, dental and vision claim types, and a national real-time eligibility check.

This step changes 2 existing laws, programs, or institutions. See the list.