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 1.3.7 of 8

Set up a load-test and go/no-go gate with an independent verification contractor (lesson from HealthCare.gov).

Who does it

UHA / GAO observer

When

Month 15–18

Trade-off

An independent go/no-go gate prevents a HealthCare.gov-style failure but may postpone coverage politically promised for a date.

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.