Obamacare rollout status report: central place for updates

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spacejamz

Lifer
Mar 31, 2003
10,843
1,491
126

I was getting worried there for a minute but since the HHS will create an Incident Response if a security incident occurs, I feel much better now...It sounds so re-assuring...

the Department of Health and Human Services (HHS) referred Mother Jones to this security statement, which says that Americans don't need to worry: "If a security incident occurs, an Incident Response capability would be activated, which allows for the tracking, investigation, and reporting of incidents."
 

spacejamz

Lifer
Mar 31, 2003
10,843
1,491
126
EDIT: Just saw the separate thread on this...

http://forums.anandtech.com/showthread.php?t=2350373


http://investigations.nbcnews.com/_...ns-could-not-keep-their-health-insurance?lite

How much kool-aid can our resident progressives drink???? Is that funny or sad that NBC News seems to be reporting Obamacare failures on a daily basis now....

President Obama repeatedly assured Americans that after the Affordable Care Act became law, people who liked their health insurance would be able to keep it.

Buried in Obamacare regulations from July 2010 is an estimate that because of normal turnover in the individual insurance market, “40 to 67 percent” of customers will not be able to keep their policy. And because many policies will have been changed since the key date, “the percentage of individual market policies losing grandfather status in a given year exceeds the 40 to 67 percent range.”

That means the administration knew that more than 40 to 67 percent of those in the individual market would not be able to keep their plans, even if they liked them.
 
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Oct 16, 1999
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Anyone that made changes to pre-existing plans that would cost them their grandfathered status were clearly notified when doing so. The only people losing their policy because of "Obamacare" are people who had newer policies that were never grandfathered in the first place.

When I "lost" my previous policy under BCBS (which was fully expected because I had made changes) I was automatically transitioned to a new one without having to do anything. It was more expensive, but had better coverage, and I successfully logged into healthcare.gov to see my other options, the tax credit I qualified for, made changes, and ended up with still better coverage than what I had previously for less of an out of pocket expense. OMGOUTRAGE!!1
 

diesbudt

Diamond Member
Jun 1, 2012
3,393
0
0
This will probably be the of the most fun digital train wrecks of my life time.

Its been fun so far.
 

First

Lifer
Jun 3, 2002
10,518
271
136
Interesting article from Ars here revealing more detail than I've seen more places and summarizing most of what we already know.

Everyone—even the CTO of President Obama's successful second presidential campaign—seems to have something to say about why HealthCare.gov experiences so much trouble. Today's news that the Affordable Care Act website and supporting IT infrastructure suffered from a data center outage piled more pain upon a project that members of the "tech surge" team now say will take at least another month to put in order.

The data center, operated by Verizon's Terremark unit, went down on Sunday when an equipment failure made it lose its Internet connection. Service was restored Monday morning, and services were brought gradually back online.

Data center outages happen to almost everyone in the cloud business, as Amazon and Google and Microsoft can testify to. But the structure of HealthCare.gov's deployment makes it particularly vulnerable to outages since it runs out of a single Verizon data center. That's just one more piece of a larger problem however: that rather than turning to private industry to look for best practices in running a high-volume e-commerce website, the government's team embraced the opposite approach.

Of course, they were following the same approach that big businesses have followed for decades with their big IT projects. Having watched a fair number of corporate IT projects go awry—both as a journalist and as an unwilling participant during my days as a system integrator and a corporate IT project manager—there are plenty of things in the HealthCare.gov debacle that feel all too familiar.

Worst practices

Government IT, as Ars previously reported, is no stranger to albatross IT projects. The federal government, and the US Chief Information Officer and Office of Management and Budget in particular, have tried to fix the chronic ills of big, bad IT by applying metrics and dashboards and reviews. For a brief moment, the HealthCare.gov project even showed up on the radar as a risky proposition. But the metrics that put it there were only tangentially related to the actual problems with the project itself. They focused specifically on cost and scheduling, not with the actual functionality of the system.

The real problems with HealthCare.gov are related to the "worst practices" that went into the project nearly from the beginning. Each of these missteps, combined with the generally hostile atmosphere in Washington surrounding the Affordable Care Act, nearly guaranteed HealthCare.gov would be late, broken, or both:

1) Hyper-Complexity. The HealthCare.gov project was an amalgam of three major contracts, each with its own contractor and set of deliverables: a new e-commerce site, a new information middleware infrastructure, and a hosted data center integration project.

2) Dependency issues. In addition, the whole thing was dependent on data provided by Experian—a data source that neither the government nor the other contractors could do any sort of data quality work on. Without a way to handle exceptions in Experian's data—such as a mismatch between street addresses due to a misspelling in Experian's system or just old data—the site experienced many early headaches.

3) All new construction. Many government IT projects, particularly ones that are created as the result of specific legislation, require the construction of an entirely new infrastructure. HealthCare.gov had the complexity multiplier of being based in software and systems—the "data hub" middleware that tied the site to the systems of insurance providers in particular—that had never been used live before.

4) Rolling requirements. The specifications for the project were delayed repeatedly then changed frequently up to within a month of the target release date. The tweaking resulted in design changes.

5) Anti-testing. Since the requirements kept changing up until the last minute, there was no way to do full site testing until mere weeks before the release date. It's not clear if any real-world data was used in testing the customer validation piece of the site since that would have required hitting actual Experian credit data. There was no limited release of the system for "beta testing" among a select audience, aside from the demo done by President Obama. All this despite the fact that nearly every component of the site was brand new and unproven against any real-world load.

6) Release late and once. Instead of doing a rolling release of features starting with information on what people could expect in terms of subsidies, the government committed to an all-or-nothing release date. There was no way to test the site's performance under full load as a result, and the feds couldn't gradually scale up infrastructure based on experience and testing either.

7) Anti-bugfixing. There was, based on statements from the government, no effective way to manage bug tracking across the multiple components of the site. This meant no way to identify root causes of issues and prioritize fixes at the time of launch. Instead, the contractors implemented all this after the launch. And while the data center provider had been certified as complying with government security requirements, it's not clear that there was ever any realistic capacity planning done because everything was so new.

This is by no means a conclusive list of the missteps that led to the failure to launch for HealthCare.gov. But each of these is recognizable in any number of other government technology programs and resurfaced here.

Failure is not just an option—it comes standard

Mismanagement of major programs is something of a modern government tradition. In a 2008 report, the Government Accountability Office reported that 48 percent of federal IT projects had to be "rebaselined" (restructured because of cost overages or changed in project goals)—and more than half had to be reset in such a way two or more times. And as of 2008, 43 percent of the Department of Health and Human Services' major projects were on the Office of Management and Budget's "watch list" because of poor performance and other management concerns.

Mind you, these measurements are only based on GAO's criteria. They don't address whether projects that weren't rebaselined were actually successful in achieving their goals, or if they were ever fully implemented. Even the most successful federal IT projects are often obsolete by the time they come close to completion, meaning they get rolled into the next big improvement program to come along.

Big-bet IT projects have a history of causing trauma in the private sector as well. A 2011 survey of business and IT executives found that 75 percent believed their projects were either usually or always "doomed from the start." Those expectations are firmly rooted in reality—research by Standish Group International found that in 2012, only 10 percent of projects with a value of over $10 million were successfully completed on time and within budget.

"Anyone who has written a line of code or built a system from the ground-up cannot be surprised or even mildly concerned that Healthcare.gov did not work out of the gate,” Standish Group International Chairman Jim Johnson said in a recent podcast. “The real news would have been if it actually did work. The very fact that most of it did work at all is a success in itself."

In other words, HealthCare.gov's rollout was almost identical to every Web-based ERP or CRM rollout at a major corporation. Here, the small exception was that it happened publicly with a hostile audience waiting to crow about its failures.

Yet again showing just how out of touch the naysayers are.
 

irishScott

Lifer
Oct 10, 2006
21,568
3
0
Interesting article from Ars here revealing more detail than I've seen more places and summarizing most of what we already know.



Yet again showing just how out of touch the naysayers are.

Not really. Most of those projects likely weren't given $300 million or 3 years to play with, and that statistic also doesn't provide any context as to the sate in which they were in when their deadline came around.

And when you're designing a site to sell your product, and the site fucks up, the only one hurt is your company. When you're designing a site to manage a public service that in some way touches almost every American, and have $300,000,000.00 to do it, there's no excuse. Launch bugs are inevitable, but the damn thing should at least be minimally functional. What that article shows is that government bureaucracy not only sucks at getting things done, but it even sucks at properly managing its contractors. Our bureaucrats suck at being bureaucrats.

In any case, I'm sorry you felt the need to cherry pick that last snippet and ignore the rest of the article. Simple fact is healthcare.gov a disaster that should never have happened; and I've yet to hear an excuse that doesn't sound like a desperate rationalization from an over-invested Obamacare defender.
 

First

Lifer
Jun 3, 2002
10,518
271
136
Not really. Most of those projects likely weren't given $300 million or 3 years to play with,

Link? And honestly, how is a $300M project not multiple years? You think that gets done in months? lol.

and that statistic also doesn't provide any context as to the sate in which they were in when their deadline came around.

And when you're designing a site to sell your product, and the site fucks up, the only one hurt is your company. When you're designing a site to manage a public service that in some way touches almost every American, and have $300,000,000.00 to do it, there's no excuse. Launch bugs are inevitable, but the damn thing should at least be minimally functional. What that article shows is that government bureaucracy not only sucks at getting things done, but it even sucks at properly managing its contractors. Our bureaucrats suck at being bureaucrats.

In any case, I'm sorry you felt the need to cherry pick that last snippet and ignore the rest of the article. Simple fact is healthcare.gov a disaster that should never have happened; and I've yet to hear an excuse that doesn't sound like a desperate rationalization from an over-invested Obamacare defender.

The nature of public programs are that they affect many people, that's the nature of government, not a knock on it. That's reality. The alternative private sector solution wasn't solving individual market problems and lord the free market had plenty of time to figure it out. Additionally, the web site is functional (fact), it's just not fully functional. That's sad but predictable, as the article notes, but nowhere in the previous several paragraphs of that article is that disputed.
 

irishScott

Lifer
Oct 10, 2006
21,568
3
0
Link? And honestly, how is a $300M project not multiple years? You think that gets done in months? lol.

You provided it. The criteria for inclusion in the study was a budget of $10 million or more, as mentioned in the article.

No, I think it gets done in years. Like the multiple years they were given.


The nature of public programs are that they affect many people, that's the nature of government, not a knock on it. That's reality. The alternative private sector solution wasn't solving individual market problems and lord the free market had plenty of time to figure it out. Additionally, the web site is functional (fact), it's just not fully functional. That's sad but predictable, as the article notes, but nowhere in the previous several paragraphs of that article is that disputed.

Yes it's the nature of government, and it's also a reason to enforce higher quality standards. And I admit we need a public option, I simply thought and still think that Obamacare is a rather shitty public option that will do more harm than good in its current state. And thus far from what I'm seeing I'm being proven more right than wrong.

Yeah, it's so functional millions of users can't use it for its intended function. Resounding success right there. I guess you'd define Amazon.com as "functional" even if no one could buy anything.
 

Doppel

Lifer
Feb 5, 2011
13,306
3
0
Interesting article from Ars here revealing more detail than I've seen more places and summarizing most of what we already know.



Yet again showing just how out of touch the naysayers are.
Nonono. It is a false equivalence to say that since most it projects suffer issues this one is no worse. It is massively worse than most, and that article outlines why.

Most importantly, nobody has denied the complexity of this. My main condemnation is that something so glaringly incomplete was released. That separates it from the masses. I have seen many it projects late and over budget. Many. The difference between them and healthcare.gov is that when push comes to shove you slip the date. And if it needs to slip again it does. This means that when it gets to the users it is only "buggy", not patently, entirely and completely unusable.

You also do not change major requirements the week before go live (!) unless those changes are to materially simplify the system and "oh let's leave this till phase II" type talk.

And no the site was not meaningfully functional when it went live.
 

First

Lifer
Jun 3, 2002
10,518
271
136
You provided it. The criteria for inclusion in the study was a budget of $10 million or more, as mentioned in the article.

No, I think it gets done in years. Like the multiple years they were given.

I'm not sure we disagree here since the article specifically says the success rate in the private sector is 10%. Though I'm not sure what your point would now be based on your original comment that "most" don't have $300M and 3 years.

Yes it's the nature of government, and it's also a reason to enforce higher quality standards. And I admit we need a public option, I simply thought and still think that Obamacare is a rather shitty public option that will do more harm than good in its current state. And thus far from what I'm seeing I'm being proven more right than wrong.

I disagree, it's better than not for insurance markets to have more participants.

And nothing that happens now with Obamacare, good or bad, means anything particularly meaningful in the long-term. We'll know more in a year, so that's a good starting point I suppose. But any preliminary public data we're getting now is mostly useless. In 3 or 4 years we'll have some great data and deal with the reality then.

Yeah, it's so functional millions of users can't use it for its intended function. Resounding success right there. I guess you'd define Amazon.com as "functional" even if no one could buy anything.

"Functional" as in people can buy insurance on healthcare.gov. It has indeed happened. That's at least partway functional though I agree nowhere near adequate. But everyone intelligent knows this is temporary and fixable so it's moot.
 

First

Lifer
Jun 3, 2002
10,518
271
136
Nonono. It is a false equivalence to say that since most it projects suffer issues this one is no worse. It is massively worse than most, and that article outlines why.

Point out where.

Most importantly, nobody has denied the complexity of this. My main condemnation is that something so glaringly incomplete was released. That separates it from the masses. I have seen many it projects late and over budget. Many. The difference between them and healthcare.gov is that when push comes to shove you slip the date. And if it needs to slip again it does. This means that when it gets to the users it is only "buggy", not patently, entirely and completely unusable.

You also do not change major requirements the week before go live (!) unless those changes are to materially simplify the system and "oh let's leave this till phase II" type talk.

You can delay private projects with little hassle as compared to a massive overhaul of the healthcare system that is Obamacare. There is no option to delay a law like this economically or politically. Particularly politically. That's the reality of government.

And no the site was not meaningfully functional when it went live.

I didn't deny this part, as the site was indeed mostly unusable week 1, but by week 2 was far superior. Every week has been the same, all documented on the Internet.
 

slashbinslashbash

Golden Member
Feb 29, 2004
1,945
8
81
http://investigations.nbcnews.com/_...rnment-let-us-help-you-fix-healthcaregov?lite

Reed, however, said he has already produced a simpler, cleaner version of the software that could run on the desktop of consumers’ personal computers, allowing them to create accounts, browse insurance plans and sign up for coverage – all without many of the headaches that have been plaguing the government’s site.

ROFLcopter. I assume this is just talking about JS though, since it was code that he was somehow able to grab from the website, so... yeah. Hopefully just JavaScript.

Ben Simo, a software tester based in Phoenix and a past president of the Association of Software Testers, said his involvement stemmed from trying to retrieve his own password on healthcare.gov. When he did so, he said, he found that his username and password reset code were being returned to his browser without authentication, a potential security hole.

Potential security hole?!

Also interesting, and linked from the NBC News report: analysis/profile of page loads from obamacare website:

http://apmblog.compuware.com/2013/1...re-website-performance-issues-with-apm-tools/

What is even more interesting is the use of multiple different 3rd party monitoring solutions such as Google, Chartbeat and Pingdom.

Really? REALLY? So the government is just handing over this information, which should really be private, to multiple private third parties? I don't want Google knowing that somebody at my IP address is applying for health insurance. I mean, they probably do anyways, given my Google searches lately, but come on, at least make them connect the dots.

It seems they forgot to merge CSS and JS files together as they are currently loading about 55! Individual JavaScript files and 11! Individual CSS files!

We could see a 16.8 second server response time for an AJAX call that returned some basic user information for the logged in user. ... What’s even more interesting is that every interaction on the MyProfile page re-sends this AJAX Request returning basically the same information again without caching it. Taking a closer look at the actual content that is returned, it seems that about 95% of the content is always the same (e.g: name, phone number, …). There is only one field in that returned JSON object that actually changes.

LMAO. This is fukken amateur hour here. That is basically a recipe for an unresponsive UI.

Response times of up to 7 seconds were mainly caused by these JavaScript frameworks that iterate through the whole DOM to identify those elements that need to be modified or not.

Holy crap, DOM traversal issues? Hey guys, 2006 called, they want their JavaScript Best Practices back!
 

boomerang

Lifer
Jun 19, 2000
18,890
642
126
This is such a hilarious fail I dont know what to say.

http://news.yahoo.com/day-1-of-obamacare-yielded-six-enrollees-233817649.html

6 people on the first day enrolled.
I wonder how much longer it will continue to be funny. We've got a hard-headed bunch of proponents for this law. This is pretty much the holy grail of liberal/progressivism. Will they ever admit failure? If so, at a point early enough to reverse the damage? There are a ton of folks that will have no coverage on Jan 1. And 11 months from now the delay of the employer mandates expire.

Is Obama in denial or has he told so many lies that even he believes what he says now? Earlier this week he was still lying his ass off while happy faces behind him clapped enthusiastically. The level of ignorance in the nation is enormous and growing. Their votes must be courted.
 
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senseamp

Lifer
Feb 5, 2006
35,787
6,195
126
I wonder how much longer it will continue to be funny. We've got a hard-headed bunch of proponents for this law. This is pretty much the holy grail of liberal/progressivism. Will they ever admit failure? If so, at a point early enough to reverse the damage? There are a ton of folks that will have no coverage on Jan 1. And 11 months from now the delay of the employer mandates expire.

Is Obama in denial or has he told so many lies that even he believes what he says now? Earlier this week he was still lying his ass off while happy faces behind him clapped enthusiastically. The level of ignorance in the nation is enormous and growing. Their votes must be courted.

Individual mandate (aka personal responsibility) to buy private insurance is the holy grail of liberal/progressivism?
 

berzerker60

Golden Member
Jul 18, 2012
1,233
1
0
I wonder how much longer it will continue to be funny. We've got a hard-headed bunch of proponents for this law. This is pretty much the holy grail of liberal/progressivism. Will they ever admit failure? If so, at a point early enough to reverse the damage? There are a ton of folks that will have no coverage on Jan 1. And 11 months from now the delay of the employer mandates expire.

Is Obama in denial or has he told so many lies that even he believes what he says now? Earlier this week he was still lying his ass off while happy faces behind him clapped enthusiastically. The level of ignorance in the nation is enormous and growing. Their votes must be courted.

Oh yes, the holy grail of liberal/progressivism is a plan made by the Heritage Foundation to preserve free market incentives, pricing mechanisms, and corporate profits.

In reality, it's a GOP plan put forth as a compromise, and a sizable part of the opposition to Obamacare is from people who realize that we would be much, much better off with the same system as the rest of the first world enjoys.

All that said, it's still a LONG way from irretrievably 'failing.' It's definitely flawed, but if the Congress was willing to be grown-ups, it could pass fixes for lots of its flaws right now (and more as new problems reveal themselves). It could fail. But it will take at least a half-decade more to tell, probably more like 10-15 years. Considering there is no alternative out there other than a truly irretrievably fucked status quo ante and single-payer, I doubt there's going to be any change until it's had a good long opportunity to find its legs. As much as Fox wants you to believe the whole nation is hopping mad about it, most people don't really care that much right now, and will form their opinions slowly instead of regurgitating talking points about it.
 

Matt1970

Lifer
Mar 19, 2007
12,320
3
0
Oh yes, the holy grail of liberal/progressivism is a plan made by the Heritage Foundation to preserve free market incentives, pricing mechanisms, and corporate profits.

In reality, it's a GOP plan put forth as a compromise, and a sizable part of the opposition to Obamacare is from people who realize that we would be much, much better off with the same system as the rest of the first world enjoys.

All that said, it's still a LONG way from irretrievably 'failing.' It's definitely flawed, but if the Congress was willing to be grown-ups, it could pass fixes for lots of its flaws right now (and more as new problems reveal themselves). It could fail. But it will take at least a half-decade more to tell, probably more like 10-15 years. Considering there is no alternative out there other than a truly irretrievably fucked status quo ante and single-payer, I doubt there's going to be any change until it's had a good long opportunity to find its legs. As much as Fox wants you to believe the whole nation is hopping mad about it, most people don't really care that much right now, and will form their opinions slowly instead of regurgitating talking points about it.

10-15 years to know if Obamacare failed? Or is that how long it will take to get the website up?
 

senseamp

Lifer
Feb 5, 2006
35,787
6,195
126
Oh yes, the holy grail of liberal/progressivism is a plan made by the Heritage Foundation to preserve free market incentives, pricing mechanisms, and corporate profits.

In reality, it's a GOP plan put forth as a compromise, and a sizable part of the opposition to Obamacare is from people who realize that we would be much, much better off with the same system as the rest of the first world enjoys.

All that said, it's still a LONG way from irretrievably 'failing.' It's definitely flawed, but if the Congress was willing to be grown-ups, it could pass fixes for lots of its flaws right now (and more as new problems reveal themselves). It could fail. But it will take at least a half-decade more to tell, probably more like 10-15 years. Considering there is no alternative out there other than a truly irretrievably fucked status quo ante and single-payer, I doubt there's going to be any change until it's had a good long opportunity to find its legs. As much as Fox wants you to believe the whole nation is hopping mad about it, most people don't really care that much right now, and will form their opinions slowly instead of regurgitating talking points about it.

With an Obama veto, it's definitely in place till 2016, and by then tens of millions of people will get Medicaid or coverage for a preexisting condition through Obamacare. Then, a simple repeal that throws those people off insurance will not fly politically. Then it's going to be a choice of Obamacare or single payer. If GOP is still politically relevant by then, they'll start singing a different tune.
 

senseamp

Lifer
Feb 5, 2006
35,787
6,195
126
10-15 years to know if Obamacare failed? Or is that how long it will take to get the website up?
By then, we are going to spend our sunset years telling our children and our children's children what it was like in America when men were free...
 

Genx87

Lifer
Apr 8, 2002
41,095
513
126
By then, we are going to spend our sunset years telling our children and our children's children what it was like in America when men were free...

Im already doing that to my fiancee's kid. The shit we used to be able to do in the 80s and 90s would land us in jail today.
 
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