How Healthcare.gov could have saved billions of dollars and been delivered in 1/2 the time.

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How Healthcare.gov could have saved billions of dollars and been delivered in 1/2 the time.

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By September 2014 spending on the 15 state health insurance exchanges and healthcare.gov will climb to over $8 Billion dollars*. This huge expenditure for health insurance shopping sites could have been avoided if the federal and state governments had mandated and followed modern software development practices.

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$1 Billon USD. We’ll need eight for healthcare shopping sites.

How did the governments, on something as high profile as healthcare reform, decide to use a risky 40 year old process to manage the delivery of the health insurance exchanges?

Comparisons were made between healthcare.gov and amazon.com, yet the way in which these two websites are developed could not be more different. Healthcare.gov used the phased or waterfall approach with 55 different contractors responsible for different aspects, and no one responsible for delivering finished product. Amazon.com uses Scrum, an Agile approach that emphasizes small cross functional teams who deliver working tested features every 2 weeks.

To understand how a website like healthcare.gov could have been delivered using the Amazon.com approach, I created a short illustrated video. This video demonstrates, in a simple way, how to deliver a site like a health insurance exchange using a fraction of the budget in about half the time. These techniques are very similar to how companies like Spotify, Google, Square, Valve, Salesforce, Amazon and many others manage getting software development done.

Got a few minutes to save billions of dollars on software development?

I hope you like this talk, please subscribe on youtube if you are interested in future videos. If you are looking for in person training for yourself or help for your organization, please contact me:

https://www.innovel.net or http://www.scrumtraining.com

Cheers
Robin Dymond, CST

*Health and Human Services data

*Report by Jay Angoff on Health Exchange enrollment costs per state


About Author

Robin Dymond

Robin Dymond is the Managing Partner at Innovel. He trains, coaches, advises and helps people who want to make a difference in their organizations with Lean and Agile. An Engineer since 1990, an entrepreneur and Agilist since 2002, he has helped people adopt Agile in small and large organizations in Europe, the US and Canada. Innovel is currently is working with clients applying Agile across a range of business domains including software products in California, financial services in Toronto and equipment manufacturing in multiple US and EU locations. We are specialists who can help you bring Agile to your organization, accelerate your Agile transition and be a guide, reducing the risks to come with trying something new through Agile Coaching, Digital Transformation, Certified Scrum Training®.