contracts

See the following -

A Tale Of Two IT Procurements

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Recently, the President of the United States, the most powerful person on earth, the man whose finger rests on the nuclear button, struck a bold blow for . . . procurement reform? Read More »

Contract Management For The Healthcare Industry

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Healthcare providers face a growing list of complex contracting challenges. These challenges create the potential for substantial revenue leaks, and the key to plugging most of those is improving contract management efficiency. Improvements can always be made at every level of the contract management life-cycle, its finding the problems that pose the real challenge. Read More »

Defunct Defense-VA Health Record Office Spent Bulk Of Budget On Support Contracts

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The now moribund interagency program office charged with developing an integrated electronic health record for the Defense and Veterans Affairs departments spent $1.1 billion during its five year life, with the bulk of that going to support service contracts, based on a Nextgov review of Pentagon reports to Congress and testimony. Read More »

Docs File Class Action Lawsuit Over Glitchy Medicaid IT

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Among other issues identified by the audit, 12 of the 14 federal- and state-mandated capabilities had not been implemented by their target dates, including rehabilitation care pricing rules and the Medicaid pharmacy program. Read More »

EHR Vendor Contracts Becoming Less Provider-Friendly

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Warning: Be careful before you sign that contract for an electronic health record system. Vendor contracts are becoming more one-sided and difficult, according to EHR consultant Ron Sterling in a blog post on HITECH Answers this week. Read More »

Fighting The Next Obamacare Tech Fail

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In terminating CGI Federal's role in HealthCare.gov, President Obama finally "fired" one of the parties responsible for Obamacare's faulty website. That may appease the chorus of those calling on Obama to hold someone "accountable," but it does nothing to fix the underlying problem: the system for selecting contractors that picked CGI Federal in the first place. Read More »

Good Enough For Government Work? The Contractors Building Obamacare

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[...As] head-scratching continues about how a famously web-savvy administration could have flubbed its Internet homework so badly, an examination by the Sunlight Foundation shows the administration turned the task of building its futuristic new health care technology planning and programming over to legacy contractors with deep political pockets. Read More »

How Are EHR Contracts Getting More Difficult?

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EHR contracts contain an increasing array of complicating structures and dense terms that offer fewer and fewer commitments to your practice... Read More »

How Healthcare.gov Went Wrong

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Here at DOBT we talk a lot about How To Fix Procurement, but you don’t hear a lot about why things go wrong. The Healthcare.gov Fiasco is instructive in that it highlights every piece of our procurement process that’s broken. How, with a half-trillion dollar a year spend, could something like this botch even happen? Here’s how: Read More »

Lessons From The ACA Health Insurance Marketplace Failure

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One can’t pass a single day it seems without seeing in the news coverage of the problems with the Affordable Care Act’s Health Insurance Marketplace (HIM). But what is perhaps most surprising is not that the web site had problems, but that people are surprised that it had problems. [...] Read More »

The Healthcare.gov Fiasco

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It’s been a week since Healthcare.gov launched, and for anyone who has tried to register for new health insurance on the website, its online waiting room page is perhaps the most recognizable page on the site... Read More »

The High Cost Of Poor Software Quality

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We recently highlighted how a bug in the Stockholm Stock Exchange caused an errant trade of more than 4.2 billion index futures contracts (a value equal to 131 times Sweden’s GDP) to send the trading network into a tailspin and forced trading to a halt. A spokesperson for the exchange blamed the mistake on a parsing error... Read More »

We Paid Over $500 Million For The Obamacare Sites And All We Got Was This Lousy 404 [Updated]

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It’s been one full week since the flagship technology portion of the Affordable Care Act (Obamacare) went live. And since that time, the befuddled beast that is Healthcare.gov has shutdown, crapped out, stalled, and mis-loaded so consistently that its track record for failure is challenged only by Congress. Read More »

Why Obama’s Tech-Savvy Team Couldn’t Make Obamacare Glitch-Free

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As the online rollout of the Affordable Care Act continues to be plagued by glitches, many of the president’s allies and foes are wondering the same thing: how could the most tech-savvy White House in history launch a flawed Web site? Read More »

Why States Are Doing Obamacare Better

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A small—and somewhat surprising—handful of states are implementing Obamacare much more effectively than the Obama administration. Read More »