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RE: <ADVOCACY> Why I Don't Like XML
Au contraire re the economic benefits not being a consideration for the
HIPAA legislation! The key portion of that HIPAA legislation is
administrative simplification with the stated legislative purpose:
"Subtitle F-Administrative Simplification
SEC. 261. PURPOSE.
It is the purpose of this subtitle to improve the Medicare program under
title XVIII of the Social Security Act, the medicaid program under title XIX
of such Act, and the efficiency and effectiveness of the health care system,
by encouraging the development of a health information system through the
establishment of standards and requirements for the electronic transmission
of certain health information."
In my book, efficiency relates to cost reductions and process improvements.
Doesn't that translate big time into economic benefits?
Rachel
Rachel Foerster & Associates, Ltd.
39432 North Avenue
Beach Park, IL 60099
Voice: 847-872-8070
Fax: 847-589-8081
_____
From: Earl Wertheimer [mailto:
Sent: Monday, February 07, 2005 8:43 AM
To:
Subject: Re: [EDI-L] <ADVOCACY> Why I Don't Like XML
William
> Earl, don't look to the 800-lb. gorillas to initiate revolutions. It's
> unlikely a gorilla would exclusively mandate a gussied-up UML-modeled
> core-componentized ISO 11179 compliant XML based e-business standard.
I agree, but the 800 lb gorilla (Walmart) had a lot of force in the
marketplace.
When Walmart pushed Bisynch modems, their trading partners had no choice.
When Walmart pushed AS2, again the trading partners had no choice.
They make these decisions because they are better economically FOR THEM, not
to
advance the technology.
Any new technology must show good economic benefits, or it will be delegated
to
some niche.
I don't see those benefits with XML or any of the other acronyms being
thrown
around recently.
Show us the benefits... You'll see the converts ;-)
> Medicare is another case in point. That's why HIPAA's TCS Rule strictly
> mandates - for the most part - crusty, old X12 EDI for claims, payments
> and whatnot. Is that why Martin Morrison is stuck with abominations like
> 300 megabyte 837 Healthcare Claim transactions? And to this day, 9 years
> after HIPAA was promulgated, Medicare itself still can't conform
> completely to the "standard" HIPAA EDI guidelines.
Wasn't the main culprit the government who mandated HIPAA?
In that case, the economic benefits are _not_ considerations. ;-)
Earl Wertheimer
http://www.spe-edi.com
[Non-text portions of this message have been removed]
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