Data Deluge From the operating room to the front desk, US health care providers are bracing for a massive expansion of the system used to code diagnoses and procedures for billing and other purposes. The greatly expanded coding system will allow far more precision and specificity about both disease conditions and the health care interventions provided to patients.

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The federal government and the states want to transform care for those enrolled in both Medicare and Medicaid. But will they move beneficiaries too fast into managed care plans?