If you are interested in how cross-border (read cross state) healthcare in the US is likely to look, pay attention to what’s going on in Europe. The EU charter guarantees care for any EU citizen in any EU country. The European Directive on cross border healthcare is being debated and Spain joined several other countries in defeating the most recent attempt to ratify the arrangement. Experts note that there are several key issues that need to be resolved. These include health information exchange, quality assurance, interchangeable business processes, insurance and e-billing, and logistical issues concerning shifts of patients around the continent.
As the US migrates to a cross state sytem, the issues will be same. We should learn on Europe’s nickel so we don’t make the same mistakes.