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	Comments on: Some Notes To Consider on the Technical Difficulties with Healthcare.gov	</title>
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		<title>
		By: JesterXL		</title>
		<link>https://jessewarden.com/2013/10/some-notes-to-consider-on-the-technical-difficulties-with-healthcare-gov.html/comment-page-1#comment-247326</link>

		<dc:creator><![CDATA[JesterXL]]></dc:creator>
		<pubDate>Wed, 23 Oct 2013 01:04:01 +0000</pubDate>
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					<description><![CDATA[In reply to &lt;a href=&quot;https://jessewarden.com/2013/10/some-notes-to-consider-on-the-technical-difficulties-with-healthcare-gov.html/comment-page-1#comment-247322&quot;&gt;James Polanco&lt;/a&gt;.

Completely and totally agree.

Here&#039;s another one from &lt;a href=&quot;https://www.tbray.org/ongoing/When/201x/2013/10/21/Obamacare-website&quot; rel=&quot;nofollow&quot;&gt;Tim Bray&lt;/a&gt; that I got over at &lt;a href=&quot;http://yakovfain.com/2013/10/22/healthcare-gov-who-crafted-the-suit/&quot; rel=&quot;nofollow&quot;&gt;Yakov&#039;s&lt;/a&gt; blog.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://jessewarden.com/2013/10/some-notes-to-consider-on-the-technical-difficulties-with-healthcare-gov.html/comment-page-1#comment-247322">James Polanco</a>.</p>
<p>Completely and totally agree.</p>
<p>Here&#8217;s another one from <a href="https://www.tbray.org/ongoing/When/201x/2013/10/21/Obamacare-website" rel="nofollow">Tim Bray</a> that I got over at <a href="http://yakovfain.com/2013/10/22/healthcare-gov-who-crafted-the-suit/" rel="nofollow">Yakov&#8217;s</a> blog.</p>
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		<title>
		By: James Polanco		</title>
		<link>https://jessewarden.com/2013/10/some-notes-to-consider-on-the-technical-difficulties-with-healthcare-gov.html/comment-page-1#comment-247322</link>

		<dc:creator><![CDATA[James Polanco]]></dc:creator>
		<pubDate>Tue, 22 Oct 2013 22:40:25 +0000</pubDate>
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					<description><![CDATA[On NPR&#039;s &#039;To The Point&#039;, Warren Olney had on a few guests to talk about the implementation (http://www.kcrw.com/news/programs/tp/tp131010when_will_obamacare_). They discussed many of the points you talked about including a few that I thought were really interesting (and a royal nightmare):

1) The consulting firm &#038; different consultants involved recommended going with a blank slate for the system. There is a lot of +/- for doing this but the scale is increased exponentially trying to tackle a project of this size from the ground up. That and starting fresh also means that there could and probably were a lot of hidden issues that were not thought about until they become more apparent.
2) Many of the systems, such as Medicare/Medicaid are legacy systems that had to be integrated into the workflow. Some of these systems are built in Cobol, so I can only imagine how complex/fragile the integration points must be.
3) Many of the States used the federal funding to tackle other outstanding issues &#038; outdated systems at the same time, effectively increasing the complexity and time frame of the project(s)
4) Much of the system is really a bridge that interacts with 3rd party systems, such as listing the current offers from insurers and then transmitting the form back to them. It sounds like a lot of these 3rd party endpoints came online late in the game and having to stitch them all together was probably a last minute scramble.

Fundamentally, this sounds like a nightmare project in complexity and scope without all the other issues such as bureaucracy, red tape and other guidelines that occur when working in governmental projects. I definitely have a lot more leaway &#038; understanding for the people behind the system, but only because I have been there and know how projects like this work.]]></description>
			<content:encoded><![CDATA[<p>On NPR&#8217;s &#8216;To The Point&#8217;, Warren Olney had on a few guests to talk about the implementation (<a href="http://www.kcrw.com/news/programs/tp/tp131010when_will_obamacare_" rel="nofollow ugc">http://www.kcrw.com/news/programs/tp/tp131010when_will_obamacare_</a>). They discussed many of the points you talked about including a few that I thought were really interesting (and a royal nightmare):</p>
<p>1) The consulting firm &amp; different consultants involved recommended going with a blank slate for the system. There is a lot of +/- for doing this but the scale is increased exponentially trying to tackle a project of this size from the ground up. That and starting fresh also means that there could and probably were a lot of hidden issues that were not thought about until they become more apparent.<br />
2) Many of the systems, such as Medicare/Medicaid are legacy systems that had to be integrated into the workflow. Some of these systems are built in Cobol, so I can only imagine how complex/fragile the integration points must be.<br />
3) Many of the States used the federal funding to tackle other outstanding issues &amp; outdated systems at the same time, effectively increasing the complexity and time frame of the project(s)<br />
4) Much of the system is really a bridge that interacts with 3rd party systems, such as listing the current offers from insurers and then transmitting the form back to them. It sounds like a lot of these 3rd party endpoints came online late in the game and having to stitch them all together was probably a last minute scramble.</p>
<p>Fundamentally, this sounds like a nightmare project in complexity and scope without all the other issues such as bureaucracy, red tape and other guidelines that occur when working in governmental projects. I definitely have a lot more leaway &amp; understanding for the people behind the system, but only because I have been there and know how projects like this work.</p>
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