Like everyone else I am watching the debate and the moves through both the House of Representatives and the Senate, but one thing that keeps getting left out of all these discussions is “data aggregation”. Now, why is this important you might ask?
Whatever plan, laws, etc. that is approved will require data reporting, and to have data available and mined to get to the appropriate places we have to aggregate, so as an example, adding co-ops is going to require an additional layer of data aggregation to deal with, more data red tape. Data aggregation is the hot word right now in healthcare, so if you follow some of the software articles and perhaps even some posts on this blog, that might help explain what’s going on.
Data aggregation first of all is going through and collecting all the data, and second of all we need a user friendly screen, programs to sort and get just the data we need to review, add to a report, create a new data base, etc. So back on track with the healthcare laws that are being proposed, let’s keep the layers of aggregation down to a minimum if we can without adding additional sources to search, because as you add more layers, well guess what, there’s more aggregation software needed. In the case of adding co-ops, we are adding another level to aggregate both healthcare and financial data, and state and federal government levels, think about it.
Data silos and the use of the Cloud are going to keep growing, so again something to keep in mind when creating laws and their processes, how much more complicated do you want these laws to be? Things are changing and so should the laws we are passing. Everybody is talking about the 1300 page law, well let’s make them algorithmic centric and recognize the entity that will be doing most of the work, the algorithms.
People in Congress have somewhat limited views of how this all works, as they are not data people and are only thinking of the verbiage side of things, but along come the “data trains” with everything you do today. Because data is shared and re-utilized in every aspect of business, healthcare, etc. you can’t ignore taking into consideration the need to address some methodologies with the algorithms, in other words please address the data processes that will need to take place in order for those words written in the laws to have “meaningful effect”. I think I just stumbled on to something here, laws with “meaningful cause and effect”, that might be a keeper.
We don’t have the luxury of time that we have enjoyed in the past as things are moving at a much elevated speed today and in another related matter using Wall Street as an example, the next crash could only take 5 minutes instead of days as they are using “high frequency trading” and this means millions of transactions are done by the second with algorithms that are either provided or custom created. The SEC can’t even get their arms around it or quite figure out how to regulate the algorithms. Even Dr. Phil is talking algorithms on his show.
I made this point as with data and algorithms, we are also moving into “high frequency healthcare”. Insurers use faster and more complicated algorithms to calculate profit and are we seeing the same thing that is occurring on Wall Street, I think so except we have human bodies at risk!
We need algorithmic centric laws for healthcare, those that spell out the processes, possibly certifiable, and take into consideration the amount of data that will need to be aggregated and mined for the ideas they propose to actually take place, as none of this is going to happen without technology and data, so again perhaps the way we create laws today is up for a heap of change too to keep up with “high frequency healthcare” as being generated from those with the ties to the money.
Keep going. You don't have to fix all of it now. Just please don't let it stall. That's the essence of the message that Senate Democratic leaders have for their Finance Committee senators, who plan to start voting Tuesday on a remake of the nation's health care system.
Democrats on the pivotal committee are disappointed with the bill from the chairman, Sen. Max Baucus, D-Mont. Republicans see a chance to deliver a stunning blow to President Barack Obama's top domestic priority.
Many Democratic amendments are geared to improving subsidies to make coverage more affordable and scaling back or replacing the 35 percent tax on high-cost health insurance plans. Also on their list: adding the public plan favored by liberals, as well as a requirement that employers offer coverage.
Rockefeller is proposing to cap itemized deductions for the wealthiest taxpayers as an alternative to the insurance tax. He also wants to strike the nonprofit insurance co-ops that Baucus has proposed in lieu of a government plan.
Republicans say they're coordinating their amendments to highlight what Sen. John Ensign, R-Nev., calls "fundamental differences" with Democrats.