Which is partially due to regulations that oscillate from excruciatingly vague to demanding particular outdated technologies, that make it very difficult to san

Which is partially due to regulations that oscillate from excruciatingly vague to demanding particular outdated technologies, that make it very difficult to sanely comply with the ever expanding regulation of Health IT systems. A second factor is that the domain is quite complex, leading to serious challenges in automating systems. The reason certain transactions between providers and third-party payers (like Medicare) are hard to automate is that they are often essentially negotiations.