Accenture, a consultancy that pioneered the business of selling technology services to government, has been publishing reports on the subject since 2000. The titles give a flavour of the industry's struggle to balance promise and performance.hame is a powerful deterrent and often overcomes greed, especially when you have children and friends who read newspapers.â. So far, though, the story of e-government has been one of quantity, not quality.
Regulatory practices vary from state to state. For instance, in California health insurers are regulated by the Department of Insurance and HMO's and health service plans are regulated by the Department of Corporations.
This year, HMOs and PPOs dominated the plans offered by insurers on the health insurance exchanges. According to an analysis of plans sold in the 36 states for which the federal government runs the online insurance marketplace as well as the plans sold on the California exchange, HMO offerings made up 40 percent and PPOs another 40 percent.