[Fwd: Direct_Messaging_States_092710.pptx]

[Noam H Arzt, PhD]

I made these comments way back in September when the original slides were posted. I do not see them dealt with yet.

Another follows.

Noam

-------- Original Message --------
Subject: Direct_Messaging_States_092710.pptx
Date: Tue, 28 Sep 2010 11:02:11 -0700
From: Noam H Arzt, PhD <ar...@hln.com>
Organization: HLN Consulting, LLC
To: communications...@googlegroups.com

Folks,

I have some real issues with these slides.

The easy item: Slide 2, HISP is glossed as Health *Internet* Service Provider instead of Health *Information* Service Provider.

Slide 1: I have real problems here.

- Challenges: I don't understand them. Lowered exchange costs? What is that referring to? Who are "national exchange participants"? What are they competing about? And why are they questions and not statements?

- Strengths: I don't know who the audience is. Are you speaking *to* state people?
Why single out Medicare?
"Services offered through state exhange or federated with community exchanges": I thought the whole point is that Direct used neither?
"Lowers the cost...": This in and of itself will make states wince as it portrays state-level activities as uncompetitively too expensive.

- Opportunities: "The commoditization...": A difficult way to start this sentence - will people understand what it means? We continue to claim that Direct will not ruin their business case, but we don't actually know if that's true. And I don't necessarily believe it yet. And I am not aware of any state that is planning *comprehensive interoperability solutions* on top of Direct.

Just my two cents...

Noam

-----
Dr. Noam H. Arzt 858/538-2220 (voice)
President, HLN Consulting, LLC 858/538-2209 (FAX)
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