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Government Medicine United States IT

Tech In the Hot Seat For Oct. 1st Obamacare Launch 326

Posted by Soulskill
from the is-there-tech-that-can-mute-the-rhetoric dept.
bednarz writes "In four days, the health insurance marketplaces mandated by the Obama administration's Affordable Care Act are scheduled to open for business. Yet even before the sites launch, problems are emerging. Final security testing of the federal data hub isn't slated to happen until Sept. 30, one day before the rollout. Lawmakers have raised significant concerns about the ability of the system to protect personal health records and other private information. 'Lots and lots of late nights and weekends as people get ready for go-live,' says Patrick Howard, who leads Deloitte Consulting's public sector state health care practice."
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Tech In the Hot Seat For Oct. 1st Obamacare Launch

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  • by ranton (36917) on Friday September 27, 2013 @04:35PM (#44974823)

    How many times have you guys been told by a project manager that QA testing starts on Wednesday and Go-Live is on Friday? I had a meeting once where a manager said we needed to improve our planning so we weren't constantly doing bug fixing on Thursday and Friday morning, and was willing to put in place so many new procedures, workflows, and documentation but never give more time between the start of QA and product roll-out.

    • When you computerize chaos,

      you get computerized chaos.

    • Well tell that PM that new procedures are more time over all and more man power if you are getting done / ready for finale / RC QA testing just days before go live.

      • by ranton (36917)

        Well tell that PM that new procedures are more time over all and more man power if you are getting done / ready for finale / RC QA testing just days before go live.

        Oh that is cute, thinking that a PM with such ridiculous opinions can be reasoned with. Many people did try, but eventually it was only fixed when higher level management got fed up and fired the PMs in question.

        But now that I work as a consultant, I find these kinds of PMs all over the place. Luckily now it is easier to just not work with these kinds of people, or at least keep racking up billable hours fixing the problems caused by their ridiculousness.

  • Let's be real... (Score:5, Informative)

    by GerryGilmore (663905) on Friday September 27, 2013 @05:17PM (#44975287)
    For all of those if us concerned about the privacy/sanctity of our medical information, it doesn't exist *now*. If you are treated under any private health insurance plan, all of the diagnoses and treatments are fed into a database (http://www.mib.com/facts_about_mib.html) that all the insurance companies share to protect themselves against people applying for insurance and "forgetting" about a pre-existing condition. Next time you have a few minutes, pull out the mice-type on your health insurance plan and read up on how they can collect and share that information.
  • by xxxJonBoyxxx (565205) on Friday September 27, 2013 @05:24PM (#44975379)

    >> Lots and lots of late nights and weekends as people get ready for go-live

    Translation: "We've been sandbagging hours with folks in India and newbies right out of college for months. Now we may need to actually pull some of our senior guys off sales and deep-end pissed-off customer calls and see if they remember how to program again."

  • The security testing mentioned, do you think they will stop just because it goes live?

    Or will they have a constant, dedicated intrusion detection/prevention team?

  • by Virtucon (127420) on Friday September 27, 2013 @10:57PM (#44977147)

    "You have to pass the bill to know what's in it." - Nancy Pelosi [heritage.org]

    And this representative from California was re-elected. Huh. Well as Ron White says "You can't fix stupid."

    If you wanted to fix the US Healthcare system by making care affordable for all and allowing people with pre-existing conditions to get insured, then it wouldn't take 2700 pages of other crap that's in the legislative package. What we didn't get was:

    1) No direct influence over rising expenditures for Medical Care. You have a system which doesn't abide by market forces and hospital administrators get paid millions of dollars in salaries and benefits. [ctpost.com] When you're seriously ill, you don't usually have the time to shop around so whatever they charge you (or your insurance) is what's charged. Sure, there's negotiations and maximums that insurance companies negotiate but that drives further business through insurance companies, forcing you to deal with them.
    2) There was no discussion on tort reform so thousands of ambulance chasers can still sue the doctors and hospitals when your scars comes out a little bit strange. [huffingtonpost.com] A big component to care is the necessary malpractice insurance which can cost upwards of $200,000 in some high cost states. [ehow.com] Add that to office staff, paying the Nurse, the building costs and the medical coder to bill the insurance companies correctly and you can see easily why it costs a lot to see a doctor over a routine sniffle.
    3) The Drug companies were let largely intact. There are a few costs they'll have to put up with but they're still expected to rake in Billions in profits under the ACA. [forbes.com] Ask yourself why that pill you're taking is $5 and why, if it was allowed, you could get it for $.25. Sure the drug industry will claim that "these are inferior" but really it's a smokescreen.
    4) The Single Payer system died. Nobody wanted to go against the big Insurance Firms and their lobbyists so we love big business in this country, so why not throw a few billion dollars their way. Well, they do now have to spend more on direct costs for Insurance which is good but allowing interstate competition and other market driven forces into the process would have been much better. That's what the exchanges are supposed to do but here we have the US Government trying to create markets rather than creating incentives with appropriate regulatory oversight for markets to flourish. Oh wait, considering the Financial Collapse, the Regulatory Process failed, so DC can't be trusted with that.

    To be honest, you could have taken this 2700 pages, cut out the BS, the Pork like the "Exchanges" which Deloitte is now merrily feeding upon it seems and done away with it and had legislation that was no more than 10 pages long. Starting next year you'll hear more pigs in DC all lining up because the Feds have just blessed one industry with unlimited monopoly powers and you have to pay what they want to charge you. You have no choice, so invest in big Pharma, Hostpital chains and big medical concerns because they'll be raking it in even more.

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