ACA sign ups well ahead of Medicare part D.

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Lord Jim
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Re: ACA sign ups well ahead of Medicare part D.

Post by Lord Jim »

Overall, the government has spent $394 million setting up the website and the exchanges through which the public can buy health insurance, according to a report earlier this year from the General Accountability Office, a government watchdog. While not all the money went into the troubled websites, most of it did.
http://money.cnn.com/2013/10/21/technol ... contracts/

Oldr, that was as of October 22nd, and it's probably a safe bet that since the website surge, we've probably sunk at least 100 million into it so 500 million (and counting) is probably a good estimate...

There's absolutely no excuse for this. They had three years, and basically unlimited cash. It came out in the testimony last month that they only spent two weeks doing the "end to end" testing of the system, (something that both the contractors and the and government officials said should have taken several months) and while they were doing the testing, the system crashed with just three hundred users on line....

That should have had flares and flags and whistles and sirens going up all over the place, but it didn't. This is really inexcusable, but there are basically two reasons for why they went ahead with the roll out when the shouldn't have, one from the bottom up, and one from the top down:

The bottom up reason became apparent at the hearings. At each level in the communication chain, both internally at CGI (the primary contractor) and CMS, (the HHS agency directly tasked overseeing the website's development) and between the two, the reports of the extent of the site's problems became progressively more softened and minimized so that by the time it got to the political level decision makers they were under the impression that all they'd be dealing with were the normal sort of shake out glitches one would expect with a site of this complexity. They didn't have the information that this thing was deeply and systemically flawed.

The top down reason was the enormous political pressure to get this thing rolled out on time. With the House Republicans trying to get Obamacare defunded, or at least delayed for a year, the top Administration officials (including Obama) really wanted to get this thing under way on October 1st, and were willing to take their chances on the site not being a complete bust. (In retrospect, a gamble which they obviously lost.) In the context of what was going on with continuing resolution and the debt ceiling, they believed that any sort of a delay in rolling it out (three months, six months, whatever) would be seen as political caving and they wanted to avoid it at all costs.

Looking back on it now, I'm sure Obama wishes he had decided to delay the roll out, and take the criticism that he would have gotten, but at the time he really did not have the full picture of just what an unmitigated disaster this was going to be. Of course the political pressure to get this done on time that was being applied may also have contributed to the information he was getting being soft peddled...(So both the bottom up reason and the top down reason sort of fed each other.)

There was an excellent in-depth article in The New York Times last week, (I think it was Tuesday) about what's going on now to try and fix this. Basically, the whole thing is being re-done from scratch, with just enough of a skeletal functionality being kept on line, (most of the time, anyway) for them to be able to claim that they are not in fact starting over some scratch...
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Andrew D
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Re: ACA sign ups well ahead of Medicare part D.

Post by Andrew D »

Progressives want every American to have access to affordable health care. Right-wingers do not. The rest is all ghafla.
Reason is valuable only when it performs against the wordless physical background of the universe.

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MajGenl.Meade
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Re: ACA sign ups well ahead of Medicare part D.

Post by MajGenl.Meade »

Andrew D wrote:Progressives want every American to have access to affordable bankrupt the health care system. Right-wingers do not. The rest is all ghafla.

Fixed (and I want mine before it all goes kablooey)
For Christianity, by identifying truth with faith, must teach-and, properly understood, does teach-that any interference with the truth is immoral. A Christian with faith has nothing to fear from the facts

oldr_n_wsr
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Re: ACA sign ups well ahead of Medicare part D.

Post by oldr_n_wsr »

the whole thing is being re-done from scratch, with just enough of a skeletal functionality being kept on line,
I certainly hope so (re-done from scratch) because it has been my experience that putting bandaids on bad concept copde leads to further and bigger problems down the road.

I think the whole way they did the site is ass backwards. You don't need all the customers info rought off the bat. Let the "guest" in and look around and see what there is being offered, what they can expect, how great it is, a very basic rundown of plan coverages, blah blah blah. That would be the first "tier" in the website. Easy access capable of handling the drive-bys, the window shoppers without impacting the accessablity to the serious shoppers. Any "new" website, especially something like this is going to get many who are not buying and have no intention to buy. How many reporers and curious news orgs and political hacks tried to go to the website just to see? Heck, I tried to get on it and I get my insurance from my company.

The second tier of accessability would be to comparison shop. Without putting in ones vital info one should be able to price a plan out, Put in a guestimated salary and choose a few plans and see the "possible" prices for each and what subsidies you "might" be eligible for. This way no vital data (ss#, real name, address, etc) has been entered eliminating much of the security code, a large overhead which slows things down. This allows people to get a good idea what plans they might be able to afford before they go into the "super secure" section of the site. And it gives them some data they can then go back to their spouses and friends and consults and see what they think. All the while there is still no burden on the "meat and potatoes" portion of the website.

Now once the customer has a good idea of what he wants and what he might afford, he then enters the third, "super secure" tier. And right up front, there should be a "list" of items the customer should gather (tax returns, ss#, marital status, etc) in order to make his application go as smooth as possible. This "list" should also be posted at various times/spots in the second tier so that the customer is forwarned that he needs this information available. Now pcustomer puts in all his data that the gov needs to correctly price out a plan (or more than one plan) for him. This pricing would would include the cost of the plan, what subsidies would be available and the actual cost per month and the tax deduction he would get next year. All the while, in the background, the software can be accessing whatever files "from wherever", they need for that customer to see if he is entering the correct data (last years salary, 1040, etc). At the end of it all he can procede to "checkout", if he's not ready yet, the site can save where he was in the process so the next time he can continue on (or go back and change things if he wishes).

That's how I would design it.

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MajGenl.Meade
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Re: ACA sign ups well ahead of Medicare part D.

Post by MajGenl.Meade »

Good thoughts oldr. I battled my way through all of the personal info stuff for myself and the wife and it took ages - and a lot of data time - to get to the step of actually seeing what (if anything) was available. Mind you, once there it was really very well laid out.

Odd thing - not really odd at all but interesting - we are too old to qualify for EITHER the catastrophic type plans OR the Cadillac bestest superest ones. Too likely to ruin the averages for both! :lol:
For Christianity, by identifying truth with faith, must teach-and, properly understood, does teach-that any interference with the truth is immoral. A Christian with faith has nothing to fear from the facts

oldr_n_wsr
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Re: ACA sign ups well ahead of Medicare part D.

Post by oldr_n_wsr »

Under my design, you would have known that (or been alerted to it and maybe given some other options) in the second tier long before you needed to put in the nitty-gritty. No need to put a protective shell around the whole site. It bogs it down, makes for everything needing to be encrypted. Unecessary overhead.

Andrew D
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Re: ACA sign ups well ahead of Medicare part D.

Post by Andrew D »

And still the whining comes from those whose party wants tens of millions of Americans to be without access to affordable health care.
Reason is valuable only when it performs against the wordless physical background of the universe.

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Gob
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Re: ACA sign ups well ahead of Medicare part D.

Post by Gob »

God, Andrew's sunk to rubato levels of discourse, what a surprise...

Get help.
“If you trust in yourself, and believe in your dreams, and follow your star. . . you'll still get beaten by people who spent their time working hard and learning things and weren't so lazy.”

Andrew D
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Re: ACA sign ups well ahead of Medicare part D.

Post by Andrew D »

Oh, Gob's having a pissy.

Isn't it just darling?

But for the adults in the room, the fact remains that the Republicans have no interest in fixing any of the little things that have gone wrong with the Affordable Care Act. They want only to destroy it. And they have nothing to put in its place.

People's intentions are rightly judged by the naturally foreseeable consequences of their actions.
Reason is valuable only when it performs against the wordless physical background of the universe.

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