Universal HealthcareBy NextBestFit

Requires new or changing information systems

The approach depends on building, integrating, or updating information systems. The burden is greater when implementation is difficult or failures interrupt the work those systems support.

Under your mix of paths

Paths that create or worsen it
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Caused or worsened by these paths

A cost these paths share. Each path's page says how it applies there.

One claims system and standard rulesAbout $1 trillion a year in administrative costChosen

Building a unified claims and payment system is a large information technology project with a risk of failure.

National health record and patient IDRecords don't follow patientsChosen

Creating a national patient record is a large information technology project.

Mandatory data-sharing standardsRecords don't follow patientsChosen

Record-sharing standards keep changing, requiring systems to adapt.

Fast transition in one or two yearsTransition disruption: jobs, companies, and familiar coverageRejected

Moving everyone together means information-system and enrollment failures affect everyone at once.

Monitor supply and adjust prices quicklyPrice limits can cause shortages, launch delays, or exitsChosen

Tracking launches, discontinuations, and provider participation requires data systems.