Jeffrey Zients Appointed To Fix Healthcare.gov
An anonymous reader writes with news that the Obama administration has appointed Jeffrey Zients to lead the effort to revamp Healthcare.gov after its trouble rollout earlier this month. Zients said, "By the end of November, healthcare.gov will work smoothly for the vast majority of users." Obama created a position for Zients within the government in 2009, when he was made the OMB's Chief Performance Officer. The purpose of his position was to analyze and streamline the government's budget concerns. "Healthcare.gov covers people in the 36 states that declined to run their own health-insurance exchanges. About 700,000 applications have been begun nationwide, and half of them have come in through the website. The White House aims to have 7M uninsured Americans covered by the scheme by the end of March." Zients's appointment came after a contentious House Committee hearing about the healthcare website, in which many were blamed and few took responsibility. The government also said that contractor Quality Software Services Inc., a subsidiary of UnitedHealth group, would "oversee the entire operation" of Healthcare.gov. QSSI has already done work on the website, building the pipeline that transfers data between the insurance exchanges and the federal agencies.
"Honey, I'll be back by Christmas."
Odds are they're going to have to rebuild a significant the entire project from scratch.
#1
Just reading his bio on Wiki, and he sounds like a management wonk who never wrote a line of code. A good management wonk, but still a wonk. There really doesn't seem to be a whole lot that ties him to the kind of companies that roll out web sites. So. The success hinges on his ability to pick the right underlings, which he may actually be very good at. We all get to participate in this experiment with our tax dollars and personal finances. Yay. (that's sarcasm).
It is implied that the writing is only conveying factual information. In reality, it is also delivering a subjective opinion about the plan by calling it a scheme. Similar to calling someone's intentions a ploy.
Sounds like a lot of mythical man-months to me.
All my liberal friends think I'm a conservative, all my conservative friends think I'm a liberal.
I take it this appointment did not require a joint Democrat/Republican confirmation?
Is this unusual for the insurance industry? I deal with a large health insurance company whose web site sucks. It is impossible to find any useful information on it. There is no logical way to search for a doctor. None of the default choices apply to the client type( How many geriatric patents need to see a prenatal specialist?) There is NO way to contact anyone and their customer service isn't. I've been fighting this site for four years and they still haven't gotten it fixed.
There are more lines of code in Healthcare.gov (500m!) than Google Chrome, the Linux kernel, XP, Facebook, Mac OS, and the Debian 5 packages combined:
http://www.alexmarchant.com/blog/2013/10/22/healthcare-dot-gov-lines-of-code-comparison.html
Windows 8 supposed has 80m lines of code:
http://money.cnn.com/2013/10/23/technology/obamacare-website-fix/
It would take a miracle of computing programming and program management that no governmental program has ever accomplished to get this epic cluster f*ck fixed in 2-3 months.
If they actually want it to work, it should be taken out behind the shed, shot in the head, hung, drawn, quartered, burned, and the ashes scattered to the four winds. And then everyone starts over. And then take 2 years (minimum) to recode it again with an almost entirely new team. But that's not going to happen. They're going to try and band-aid it, and it won't work.
So things are going to get interesting. It's unfixable in a politically acceptable way for the Democrats and the Obama administration.
His reputation precedes him. Tough, accept no excuses analyst. Site will be bulletproof when his team gets done.
The irony will be that the red states -- with their refusal to provide their own exchanges-- will end up having one of the best websites out of all the rest to use when shopping for affordable healthcare insurance. And they'll only have the red state politicians to thank (in addition to Zients' and his team). Not exactly cutting their constituents' noses off to spite their faces...
Zients said, "By the end of November, healthcare.gov will work smoothly for the vast majority of users."
Yeah,November of which year?
At some point they will have spent enough time and money to fix the nice shiny bauble of a web site..... and they will trumpet their success...... but this will be used to distract from the fact that they will NOT undo:
1. The fact that hundreds of thousands of people have already been thrown off their insurance (so much for "If you like your insurance, you can keep your insurance, PERIOD." - Barack Obama).
2. The fact that millions will have lost their doctors both by losing their insurance and also by having the new plans exercise very tight controls on their "providers" (so much for "If you like your doctor, you can keep your doctor, PERIOD" - Barack Obama).
3. Nor will it fix the most-basic contradictions of the scheme which always meant it was unworkable: [1] it's "insurance" but you can wait to buy-in until you have had the failure it "insures" against (the pre-existing condition clause; it's like only placing your bet in Vegas after you win) and [2] it requires all the young-and-healthy to buy policies at high prices with high deductibles and high co-pays (in other words, policies they will get nothing from) in order to function but it lets all the young people stay on their parents' policies until age 26 in order to not piss-off Obama's young supporters.
The lesson here: No amount of IT (no matter the quality or expense) can make-up-for, or sufficiently hide from intelligent users, serious flaws in the underlying policies, business principles, economics, claims of the sales force and marketing dept, etc. But a bad launch of a shiny bauble can have a serious impact on reputation and imply incompetence. This lesson applies to business, non-profits, and governments alike.
Oh, and there's another lesson here for the young urban hipsters: The internet is not universally available, and many people do not even have/care to use it. My personal favorite anecdote thus far was from the farmer being helped to sign-up who responded to the navigator with "what's an e-mail address?" In the real world where systems are constructed to serve everyone equally, there must be good non-internet options that work - people who do not get this need to unplug for a month and get out into the real-world where this big bright thing called "the sun" rises and sets every day, something called "the wind" blows, people swim, fish, ski, fix fences, ride horses/motorcycles/etc, turn wrenches, use saws, dig holes, play with their kids, milk the cows, etc.
Good luck to Zients. He's a good guy and I don't doubt the code can be repaired with enough effort. A lot of effort, maybe, but it can be done.
But it might not matter. The Los Angeles Times had a story about how the real code running the show (the legalese in the ACA law) may have a fatal flaw in it. The federal government may not be able to grant subsidies to low income people in the states that did not set up their own exchanges. The law specifically says the states must do it in order for the money to flow. So 36 of the 50 may not be able to get the money. But they are still subject to the penalty for not signing up. This means the people least able to afford insurance get hammered. And since they are treated differently than people in the other 14 states that do have exchanges, you can bet an Equal Protection lawsuit will be quick in coming.
Federal judge is due to issue the initial ruling soon.
Behold, this dreamer cometh. Come now, and let us slay him... and we shall see what will become of his dreams.
Maybe can cut half.
By talking about these few perceived problems, you people are hurting the only person that is trying to help us. Please stop talking about this. The racist right wingers don't want minorities to have health care so they'll do anything to stop it. The most effective tool they have right now is talking about this.
From the soaring triumph of the Apollo Project
I'm told enrolling on glitchy healthcare.gov is already easier than enrolling on insurers' own web sites was pre-PPACA. But at least healthcare.gov hasn't killed three astronauts, has it?
Why? The errors are pretty obvious. This was, perhaps not sabotage, but work done by people who have agendas that are counter to the success of the project.
That's why Zients said one Month, the errors are all known ways to make a database integration system fail.
If the few programmers with agendas are as dumb as I know they are though? They will be caught pretty easily by the end of November.
In reality, it is also delivering a subjective opinion about the plan by calling it a scheme.
Unless Zients's plan is to sprinkle parentheses liberally on the project.
Proclamation: All prior Federal health programs, including Medicare, Medicaid, Obamacare, and stateside military programs are hereby repealed and the employees of said programs laid off. All insurance companies must reimburse for care provided by any licensed healthcare practitioner. No bulk discounts may be negotiated. All licensed healthcare practitioners must post price lists on the Internet. All anti-trust exemptions are revoked. If you can prove that you are in debt for more than 10% of last year's pre-tax income for health services, the government will reimburse the difference. Just submit your receipts along with your taxes, and we'll cut you a check. Note that this government reimbursement really makes private insurance useless. Good riddance. In order to pay for this, we'll tax all trades on Wall Street at one penny per order, whether it executes or not. Additionally, capital gains on stocks will be taxed as ordinary income regardless of term. That otta do 'er.
Sounds like the primary planning for the data base access was done by a bunch of amateurs. I just wonder how much of piece of Swiss cheese the query structure is and how long before somebody hacks in and completely screws a vulnerable portion of it. If the primary .gov db is Oracle based then chances are it will survive assaults but if it is a mix and match POS combination with MS SQL links then most likely someone will find some holes and mess around with portions of the monster.
The 500 million loc story seems a little far fetched for the primary db and interface. But if they are including all the old corporate secondary code for the insurance companies that run the plan parts God only knows what SQL they are using and the task of fixing the beast might be more expensive than completely doing a re-write of all the secondary code that they needed to access with the primary servers.
Either way the system sounds like a coding fiasco fluster cuck that only a spin doctor from a consulting contract firm like CGI could have imagined would actually work.
Looks like they didn't check the proposals with experts yet again, just watched shiny powerpoint presentations in the bidding process and went on price. 300,000 users is not actually very many for a web based system, surely they did load testing and functional testing on a completely equivalent test environment as part of the process?
Oh, maybe they didn't because the cost of doing so might have made the bid "uncompetetive" ? Seen it happen myself numerous times, seems a lot of people need to learn the expensive way still, that cutting costs this much enormously increases risk. And have they ever heard of "best practices"? Should make another chapter for the sadly overdue "why big projects fail" book that one day it will be a sackable offence not to know inside out and back to front (because you've read it so many times front to back of course).
For real.
I don't doubt the code can be repaired with enough effort. [But] the real code running the show (the legalese in the ACA law) may have a fatal flaw in it
As you recognized, law too is code. Get enough Democrats into state legislatures and they might have a chance of reversing REDMAP, the RSLC's organized redistricting effort that produced the inkblot-shaped districts that turned a Democratic popular vote into a Republican majority in the House of Representatives, which should make it possible to patch this bug in PPACA.
There, that had to be said. Now, just redirect those healthcare.gov links to the insurance companies, as should have been done in the first place:-)
After doing software development in the healthcare field for over a decade, I finally made the wise decision to never work in that industry again. Government is even worse, because the rules the software have to follow change on the whim of elections and the rug is constantly being pulled out from under you. Now this mess? Well it's healthcare taken to the bureaucratic power (h^b). Sounds like a good way to shave 10 years off your life in stress.
Better known as 318230.
But.. maybe you don't actually get to pick which two, and they tried anyway.
Can you be Even More Awesome?!
And pigs will fly.
"Whenever the cause of the people is entrusted to professors, it is lost." ~ V.I. Lenin
'Why does the White House need a private-sector "tech surge" to repair its wretched Obamacare website failures? Weren't all of the president's myriad IT czars and their underlings supposed to ensure that taxpayers got the most effective, innovative, cutting-edge and secure technology for their money? '
http://townhall.com/columnists/michellemalkin/2013/10/25/what-happened-to-all-of-obamas-technology-czars-n1731775/page/full
more. If yo0 feel that support of open-source. T4ese early
The White House aims to have 7M uninsured Americans covered by the scheme by the end of March.
They will. That's 7 million Medicare enrollees. Surprised? Was this worth messing up the health insurance of the 85% of people who are covered? May Obama burn in hell./cP
an ill wind that blows no good
OMB's Chief Performance Officer
Now there's an oxymoron if there every was one.
Why anyone would believe that number from the NY Times is beyond me.
If you have any experience with even medium sized software projects, you will realize it's a typo. They started coding this spring, of 2013, I doubt they even have 5 million lines. Maybe 500,000.
Do we know what the server architecture for healthcare.gov looks like? Websphere or Weblogic? What RDBMS are they using? Hardware and OS?
why do i need to create an account before i actually signup for an insurance plan?? i still can't sign up after weeks. still can't fin a job after sending out resumes so don't call me lazy. even if i did find a job i would have to pay for my own expensive insurance. sorry for the rant but i'm tired of people calling me lazy because i'm 27, i live with my parents and have no income.
Suppose that were true (I don't know) ... who could fix it?
1) The states by setting up exchanges. I mean, they wouldn't be so spiteful as to punish the poor because they don't like a federal law.
2) The house by passing legislation that fixes this gap. Representatives from states without exchanges wouldn't want to punish the poor in their states, and most others should also be willing to fix the unescapable slight gaps in large legislation.
Oh wait ...
This is Howard Hughes trying to defend government funding of his unflyable plane. The paralells to healthcare.gov are myriad: "The Hercules was a monumental undertaking. It is the largest aircraft ever built. It is over five stories tall with a wingspan longer than a football field. Thatâ(TM)s more than a city block. Now, I put the sweat of my life into this thing. I have my reputation all rolled up in it and I have stated several times that if itâ(TM)s a failure, Iâ(TM)ll probably leave this country and never come back. And I mean it."
Pass single-payer, as we should have done in the first place, and send everyone to medicare.gov.
ask the foreign contractor to whom the work was outsourced
Then things are much better than I thought. You can't have 2 successful people who when to prestigious schools not have connections all over the place. I mean "classmates"? That's it?
running our life.
I bet jews take turns buttfucking obama with an apple in his mouth
My point is that even a U.S. government program considered a "soaring triumph" had its growing pains.