States have infrequently experienced quick success automating health care eligibility systems and there is no clear example of how to tackle these massive projects. Highly complex health care information technology projects require open communication and an alignment of goals with realistic projections between government and vendors. Further, regular status updates are essential to ensuring transparency and accountability.

HealthMatch is a Minnesota Department of Human Services (DHS) project that was first conceived by a consultant eight years ago to streamline health care eligibility determination processes and functions. Today after five years and $8 million invested, the first attempt to develop the online sign-up system has been abandoned. The decision was made after the web-based computer system was plagued with delays and glitches causing the Department to drop the contractor, ACS State and Local Solutions Inc. In a 20-page assessment dated May 2, 2008, DHS outlined issues with current progress and system functionality, which stated the software, was "incomplete, error-prone and not always efficient to use."

The Department has decided to cut its losses and utilize the remaining $15 million for a second attempt at developing the system. Rightfully so, DHS has indicated there is no intention of implementing a system that does not meet its intended goals or standards, which is to save time and reduce errors. The vision is that the electronic system would determine an applicant's eligibility for state health care programs and assign the person to the right program in addition to other capabilities.