Editor's note: Jerry Poole is president of Acrometis, LLC, which offers automated claims processing for the workers' compensation industry.

The problem currently manifesting itself with the Department of Health and Human Services (HHS) health care marketplace, or exchange, is the result of an inherent management problem—one that is also rampant in the P&C workers' compensation world. 

The Department of Defense (DoD) has fielded some magnificently complicated weapon systems that allow our country to remain strong and defend freedom throughout the world. I offer that as an example of a federal entity that can develop and manage complex IT systems. The DoD's annual budget is slightly more half that of the HHS. With essentially unlimited financial resources, why can't the HHS build exchanges? These are data marts that connect already existing processes and sources, so conceptually it is a simple integration problem.

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