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Jsreno : Fantastic story of #AdHoc coders ... Obamacare’s Secret Success. Much of the Beltway establishment scoffed at the promise of cost savings.

Obamacare’s Secret Success

The prevalent attitude in Washington is that reform isn’t real unless the little people suffer; serious savings are supposed to come from things like raising the Medicare age (which the Congressional Budget Office recently concluded would, in fact, hardly save any money) and throwing millions of Americans off Medicaid. True, a 2011 letter signed by hundreds of health and labor economists pointed out that “the Affordable Care Act contains essentially every cost-containment provision policy analysts have considered effective in reducing the rate of medical spending.” But such expert views were largely ignored. So, how’s it going? The health exchanges are off to a famously rocky start, but many, though by no means all, of the cost-control measures have already kicked in.

The answer, amazingly, is yes. O.K., the obligatory caveats. Still, the facts are striking. What could account for this good news? Getting to the bottom of’s flop. For the first time in history, a president has had to stand in the Rose Garden to apologize for a broken Web site.

Getting to the bottom of’s flop

But is only the latest episode in a string of information technology debacles by the federal government. Indeed, according to the research firm the Standish Group, 94 percent of large federal information technology projects over the past 10 years were unsuccessful — more than half were delayed, over budget, or didn’t meet user expectations, and 41.4 percent failed completely. For example,, a system for government contractors developed by I.B.M. that started in 2012, has cost taxpayers $181 million and is just now beginning to work as expected. Before that, a new version of landed with a thud, after years during which millions were spent. Clearly, these failures — though they are not as well known to the public — extend far beyond Barack Obama’s presidency. So why is it that the technology available to Mr. But maybe there’s hope. Direct Project - home.

HISPC-PET. Life as a Healthcare CIO. Nationwide Health Information Network. Health IT ONC. SLHIE. In March 2010, ONC completed the announcement of State Health Information (State HIE) Exchange Cooperative Agreement Program awardees.


In total, 56 states, eligible territories, and qualified State Designated Entities (SDE) received awards. The State HIE Cooperative Agreement Program funds states’ efforts to rapidly build capacity for exchanging health information across the health care system both within and across states. Awardees are responsible for increasing connectivity and enabling patient-centric information flow to improve the quality and efficiency of care. Key to this is the continual evolution and advancement of necessary governance, policies, technical services, business operations, and financing mechanisms for HIE over each state, territory, and SDE’s four-year performance period.

This program is building on existing efforts to advance regional and state-level health information exchange while moving toward nationwide interoperability. For More Information, read about: Chilmark Research.