Obamacare, la réforme du système de santé américain : Comment faciliter l’accès aux soins médicaux pour tous les Américains en déployant des outils et des systèmes d’information intelligents ? avec Jon Bakke et Laurent Vidal (MarkLogic) Suite à l’adoption de l”Affordable Care Act” en 2010 aux Etats-Unis, les centres de services Medicare et Medicaid (CMS - Centers for Medicare and Medicaid Services) du Département de la Santé et des Services Sociaux (US Department of Health and Human Services) ont dû concevoir, développer et implémenter une plateforme technologique capable de supporter les inscriptions de millions d’Américains aux nouveaux régimes d’Assurance-Maladie. La vision stratégique du CMS était de faciliter l’accès aux soins médicaux pour tous les Américains en déployant des outils et des systèmes d’information intelligents permettant également de réduire les coûts. La société MarkLogic expliquera comment elle facilite l’accès à l’assurance maladie pour des millions d'Américains.

1. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.
Centers for Medicare & Medicaid Services
Presented by:
Jonathan Bakke VP World Wide Field Operations
Laurent Vidal, Country Manager France
Stéphane Mahmoudi Account Executive

2. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 2
The healthcare system before Obamacare
§ When someone has no insurance coverage, hospital ask to government to pay
the bill. (In the best case)
§ The president Obama says it needs to stop
§ Every citizen must have an insurance coverage
§ State will help citizen by covering a part of the insurance fee
§ The Political issue
§ 50 States … 15 States are democrats…
§ The political success
§ All state must have a solution in place
§ All state must provide a minimum of healthcare insurance

3. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 3
A SOLUTION … OR A HUGE
ISSUE !!!
THE ART OF POSSIBLE

4. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 4
The Art of the Possible
1,000’s f Service Providers10 Government Agencies
50 Organisations Data
IRS
Benefits
Citizen
Identity

5. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 5
ETL
OLTP
Op Warehouse
Data Marts
ETL ETLETL
Archives
“Unstructured”
“ ”Social
Contracts
{ }
Metadata
Search
ETL
🔍
ETL
Reference
DataETL50 Organisations
10 Agencies
The Art of the impossible

6. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 6
The Art of the Possible
1,000’s of Service ProvidersData Hub10 Government Agencies
36 Organisations Data
IRS
Benefits
Citizen
Identity

7. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 7
The Art of the Possible Accessed by millions of Users
Supporting over 150,000 concurrent
users
1,000’s of Service ProvidersData Hub10 Government Agencies
36 Organisations Data

8. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 8
Governance is Key
§ The data from the 36 organisations and thousands of service providers that’s
§ In different formats, but highly structured
§ Different protocols and error handling
§ Different semantic meanings
§ 10,000 pages of legislation complied with
§ Enabling a 75 Step application process workflow
§ Accessible and intuitive enough for any user

9. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 9
8,000,000+ new beneficiaries
150,000+ concurrent users
0 zero data loss
Governance is Key
https://www.healthcare.gov

10. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 10
A call with Barack …
§ Over the weekend, the operations center (referred to as the XOC) for the
federally facilitated marketplace received a call from President Obama
complementing everyone on getting the job done. Jon Bakke was kind
enough to edit some XOC photo’s into the recording and provide the attached
youtube video that includes both photos and the recording of the President’s
call.
§ You will hear the President refer to Todd and Denis in his recording. Both
Todd and Denis have visited the XOC this past week and the reference to
Todd is the United States Chief Technology Officer Todd Park and the
reference to Denis is the White House Chief of Staff Denis McDonough.
Both are well known to the folks at the XOC.
Gary Bloom, CEO MarkLogic

11. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 11
A phone call from Barack
• Thanks to the OXCT
• Ready for November 31st
• Technical shop, challenge – Wonderfull team spirit
• Divorced woman lost the coverage
• Severe disease means bankrupt
• We can have a beer / Face to Face / Denis and Todd office
• Millions of people will have a better life
http://youtu.be/4KkFzEYCKvs

12. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 12
DATA IS KING!

13. SLIDE: 13 © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.
Consolidation de données traditionnelles
PDF
Externe SI
Interne SI
ETL
Schémas

14. SLIDE: 14 © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.
Consolidation des données
PDF
Externe SI
Interne SI
Charger les données
Sans transformation
Explorer les données
Vision globale
Enrichir les données
Mettre à disposition les services
Analytique / Applications

15. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 15
MARKLOGIC
A NEW GENERATION DATABASE

16. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 16
ERA hiérarchique
“Pour les données de vos
applications"
" Par Application liée à du
Hardware spécifique
Une nouvelle génération de base de données
ERA relationnel
“Pour les données structurées”
" Normalisées, modèle de
donnée
" « Application-independent »
query
" User control Era Any Structure
“Pour toutes vos données”
" Schema-agnostic
" Gros Volume
" Recherches avancées
" Analytics
" Services applicatifs
" Trouver l’information
instantanément

17. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 17
Exploiter toutes les données et imaginer de nouvelles Applications
§ Réduire le risque
§ Gérer la mise en conformité
§ Créer de la valeur ajoutée grâce aux
données
§ Optimiser les Opérations
§ Baisser le TCO / ROI pour financer les
nouvelles fonctionnalités
§ Plus d’informations pour de meilleures
décisions

18. © COPYRIGHT 2013 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 18
Thank you
Laurent Vidal
Laurent.vidal@marklogic.com
www.marklogic.com