Tuesday, April 8, 2014

What happened with Healthcare.gov?

As a Graduate Assistant, I had the unique opportunity to go through Healthcare.gov articles and categorize them based on the article’s point.  Through doing this, I think I was able to learn a thing or two related to many people’s perspectives about what happened with Healthcare.gov and how it could be improved.  Here seems to be some of the main ideas of how the project could have been improved from the different articles I looked at:

-          LEGISLATION
o   Tech specifications should not be included in legislation as it makes it harder to manage the project
-          CONTRACTORS
o   The chosen contractors were mismanaged/insufficient private organizations for the job
o   Difficult for companies without experience to bid for projects
o   Procurements can be protested by companies leading to delay and costs
o   Federal Acquisition Regulation requires small businesses to be involved and other rules
o   Shouldn’t establish requirements for IT at certain points in the procurement cycle
o   CMS did not test it enough before launching, even though contractors raised concerns
o   Needed to have a specific person in charge of the project rather than many people
o   Need more in-house strategy, design, and tech personnel within government.
o   Need more outside skilled leadership in business, insurance, and technology to be involved
o   Need a new way of delivering tech services such as forming a Government Digital Service team as they have done in the UK
o   Would be good to use agile software development, open source, and cloud computing project management principles
o   IT projects should start small and there should be demos

So, in conclusion, it seems that all of these factors contributed to a botched roll out and expensive Healthcare.gov .  There are definitely more factors so please feel free to add to the list in the comments. Hopefully, through Healthcare.gov’s publicity, improvements on these different aspects can be made in the future.


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