I have no idea since I'm just an over the hill retired network admin. Maybe some of you can chime in.
I enrolled with My Healthy Vet (the VA medical system portal) a couple of years ago. Took all of about 2 minutes. In order to get the "Premium" account I had to check in in person at the medical center.
My HealtheVet is VA’s online personal health record. It was designed for Veterans, active duty Servicemembers, their dependents and caregivers. My HealtheVet helps you partner with your health care team. It provides you opportunities and tools to make informed decisions and manage your health care
Specific features in My HealtheVet are available to you based on your account type. All users who have a Basic account are able to view their self-entered information. If you are a VA patient, you can upgrade your account to Advanced or Premium. For more information about account types and what you can view, visit My HealtheVet Account Types.
Among the newest features available to Veterans with a Premium Account include VA Notes. These are clinical notes that your health care team records during your appointments or hospital stays. Also available are your VA Immunization records, more detailed lab reports and a list of your current medical issues. These features are in addition to prescription refills, VA Appointments and Secure Messaging – all very popular with Veterans!
Just out curiosity and the discussions going on about HealthCare.gov, I did a quick google on MyHealthyVet background. Turns out it runs a on a program called
Ensemble®
The U.S. Department of Veterans Affairs Uses InterSystems Ensemble® to Integrate 130 Systems and Improve Patient Care
The VA plan called for letting veterans tap into the VistA EMR, starting with medical history, lab results, and appointment scheduling, and bring that information into a new My HealtheVet personal health record. The plan also called for secure messaging with physicians, through My HealtheVet, and enabling physicians to post those messages to the EMR as progress notes. This vision presented a challenge, as the functionality they wanted would require integration of the My HealtheVet application with more than 130 enterprise systems used at VA medical centers located throughout the country. Development of the integration services began in July 2007 with two Ensemble developers and two Java developers assigned to the project. One year later these services were made available to the nation’s veterans.
Is any of this relevant to HealthCare.gov? Could a system already in use have been tweaked to accomplish what was needed?
Just looking for information from those more knowledgeable then me.
Regardless, if you're a vet and aren't signed up, just do it.