{"id":4230,"date":"2013-10-21T07:00:13","date_gmt":"2013-10-21T15:00:13","guid":{"rendered":"http:\/\/formtek.com\/blog\/?p=4230"},"modified":"2013-11-12T02:23:54","modified_gmt":"2013-11-12T10:23:54","slug":"health-care-it-management-of-health-care-exchange-under-scrutiny","status":"publish","type":"post","link":"https:\/\/formtek.com\/blog\/health-care-it-management-of-health-care-exchange-under-scrutiny\/","title":{"rendered":"Health Care: IT Management of Health Care Exchange Under Scrutiny"},"content":{"rendered":"<p>ObamaCare health care exchanges are shaping up to be textbook material for how not to run an IT project.<\/p>\n<p>The hope is to be able to bring 48 million uninsured into the new system, but the first week of the launch has been plagued with glitches.  While nearly 9.5 million users tried to visit the web site <a title=\"Healthcare.gov website\" href=\"https:\/\/www.healthcare.gov\/\" target=\"_blank\">healthcare.gov<\/a> in the first week of operation at the start of October, only 36,000 people were able to successfully enroll.  Once enrolled,<a title=\"Wiped out password from the healthcare exchange\" href=\"http:\/\/www.washingtontimes.com\/news\/2013\/oct\/18\/obamacare-failures-ratchet-more-enroll-mars-trip\/\" target=\"_blank\"> it&#8217;s been reported that passwords have been wiped out<\/a>.  In the UK, <a title=\"The DailyMail on health care\" href=\"http:\/\/www.dailymail.co.uk\/news\/article-2465661\/More-takers-way-trip-Mars-Obamacare-state-spending-12-000-far-attract-new-insurance-customer-Is-worst-launch-ever.html#ixzz2i73fYBaC\" target=\"_blank\">the DailyMail<\/a> quipped that the &#8220;&#8216;Mars One&#8217; colony project has 200,000 commitments from would-be space cadets, outpacing Americans&#8217; interest in Affordable Care Act participation&#8230;&#8221;<\/p>\n<p><a title=\"Jeff Kim bio\" href=\"www.linkedin.com\/in\/jeffskim\" target=\"_blank\">Jeff Kim<\/a>, president of CDNetworks, a content-delivery network, <a title=\"Jeff Kim on ObamaCare health exchange\" href=\"http:\/\/www.usatoday.com\/story\/news\/nation\/2013\/10\/17\/health-exchange-week-three-start-over\/2995989\/\" target=\"_blank\">said that<\/a> &#8220;the application could be fundamentally flawed.  They may be using 1990s technology in 2.0 world.&#8221;<\/p>\n<p><a title=\"James Turner bio\" href=\"www.linkedin.com\/in\/blackbear\" target=\"_blank\">James Turner<\/a>, a software engineer, <a title=\"James Turner on health care exchange\" href=\"http:\/\/programming.oreilly.com\/2013\/10\/what-developers-can-learn-from-healthcare-gov.html\" target=\"_blank\">wrote that<\/a> &#8220;it&#8217;s pretty clear that they didn\u2019t do a lot of testing, because it&#8217;s easy to get into states where you can\u2019t get any further or you have bogus data you can\u2019t get rid of.&#8221;<\/p>\n<p>It&#8217;s not that the project has been underfunded.  <a title=\"Costs to develop the health care exchange system\" href=\"http:\/\/www.forbes.com\/sites\/timworstall\/2013\/10\/17\/developing-obamacares-health-care-exchanges-has-cost-more-than-apples-original-iphone\/\" target=\"_blank\">Estimates for the cost to develop the new health care exchange<\/a> system range anywhere from $292 to $600 million.  To put that in comparison, Apple spent $150 million to develop the iPhone.<\/p>\n<p><a title=\"Avik Roy bio\" href=\"http:\/\/www.linkedin.com\/profile\/view?id=2848413&amp;authType=NAME_SEARCH&amp;authToken=y-lu&amp;locale=en_US&amp;srchid=16710601382132637734&amp;srchindex=1&amp;srchtotal=1&amp;trk=vsrp_people_res_name&amp;trkInfo=VSRPsearchId%3A16710601382132637734%2CVSRPtargetId%3A2848413%2CVSRPcmpt%3Aprimary\" target=\"_blank\">Avik Roy<\/a> on F<a title=\"Avik Roy on healthcare reform\" href=\"http:\/\/www.forbes.com\/sites\/theapothecary\/2013\/10\/14\/obamacares-website-is-crashing-because-it-doesnt-want-you-to-know-health-plans-true-costs\/\" target=\"_blank\">orbes.com noted<\/a> a major design problem with the system is that users signing up need to first enter large amounts of personal data that needs to be verified and cross checked with other systems in order to determine status and eligibility for subsidies.  All that before they can even begin to consider their options.<\/p>\n<p><a title=\"Tim Worstall bio\" href=\"http:\/\/www.theguardian.com\/profile\/timworstall\" target=\"_blank\">Tim Worstall<\/a>, Fellow at the Adam Smtih Institute, <a title=\"Tim Worstall on a failed IT project\" href=\"http:\/\/www.forbes.com\/sites\/timworstall\/2013\/10\/17\/developing-obamacares-health-care-exchanges-has-cost-more-than-apples-original-iphone\/2\/\" target=\"_blank\">said on Forbes.com<\/a> that &#8220;the autopsy reports always come up with the same darn problem too&#8230; No one at all insisted upon a tight specification of the project before people started working on it. Then, when it fell behind, people just firehosed more resources at them and the project. 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The hope is to be able to bring 48 million uninsured into the new system, but the first week of the<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/formtek.com\/blog\/health-care-it-management-of-health-care-exchange-under-scrutiny\/\">Read more &#8250;<\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-4230","post","type-post","status-publish","format-standard","hentry","category-health-care"],"_links":{"self":[{"href":"https:\/\/formtek.com\/blog\/wp-json\/wp\/v2\/posts\/4230","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/formtek.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/formtek.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/formtek.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/formtek.com\/blog\/wp-json\/wp\/v2\/comments?post=4230"}],"version-history":[{"count":0,"href":"https:\/\/formtek.com\/blog\/wp-json\/wp\/v2\/posts\/4230\/revisions"}],"wp:attachment":[{"href":"https:\/\/formtek.com\/blog\/wp-json\/wp\/v2\/media?parent=4230"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/formtek.com\/blog\/wp-json\/wp\/v2\/categories?post=4230"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/formtek.com\/blog\/wp-json\/wp\/v2\/tags?post=4230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}