The federal government will give states free rein to implement additional information technologies to support the expansion of Medicaid and health insurance exchanges--before they even commit to going through on those projects, and with no payback if they don’t.

That policy is unveiled in a letter Centers for Medicare and Medicaid Services Acting Administrator Marilyn Tavenner sent to Virginia Gov. Robert McDonnell (R) on July 13, as first reported by Modern Healthcare.

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