The Centers for Medicare and Medicaid Services has strict requirements for how partner organizations use data, and officials spell out the required levels of protection. But it is not enough for CMS' partners to handle the data securely -- CMS has to ensure that the information is secure while in transit. That is not a simple task. The list of partners sending and receiving CMS information includes all 50 states and numerous health care providers and research institutions, each of which use different information technology systems.

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