244 karma · joined June 8, 2011
Prior, I led AI at Parexel, ran go-to-market at Roam Analytics, and before that, was at Palantir for 8 years, and helped start the healthcare & biosciences team there.
I believe CGI actually got this contract via an IDIQ, which is an "indefinite delivery/indefinite quantity" contract, allowing HHS to add additional "tasks" to the IDIQ contract as long as its within certain bounds set by the contract, and if it stays within their GSA fee schedule. IDIQs started becoming popular in the 90s as a more expedient way to contract rather than the months-long or even years-long process of a standard competitive bidding process. However, it only really solved the procurement woes for incumbents. I couldn't find the original CGI-Federal contract, but here's at least their press release: http://www.cgi.com/en/CGI-selected-build-US-wide-competitive...
Also, here's Accenture RFP award as the prime for fixing up the site for the next enrollment cycle. https://www.fbo.gov/index?s=opportunity&mode=form&tab=core&i...
So true.
Don't mean this to be cynical, but if you actually want to have a chance of upending the healthcare system, always clearly identify the flow of money (are costs paid by carriers? providers? Medicare? consumers? are the prices negotiated?), regulation (are fines built into the cost structure? what regulations are relevant? are they incentivized to be ignorant?) , and decision-making (e.g. how billing departments more often decide on the EMR to go with rather than the docs). Then check again, because it's likely you missed a huge underground river.
Then the tricky part is to align your business plan with your customers' incentives.
EDIT: Here is an archived version found elsewhere: http://www.allhatter.com/showthread.php/13017-Google-Maps-am...
Even so, I run into the infuriating aspects of Java from time to time, and that's when Scala comes in. I see it to Java as Coffeescript is to Javascript.
Yes, the class was a fun introduction to AI. But no, it did not offer a deep and thorough theoretical foundation that I would expect from a Stanford class.
At a place like Stanford, a majority of undergraduates will have taken an introductory computer science course by the time they graduate, but it's obviously not true that a majority will be computer science majors. And while I appreciate SICP and Scheme and functional programming, and completely understand why that kind of thinking should be valued, it may not be the best way to present a breadth of introductory programming knowledge that will motivate, interest, and offer practical examples. Sure, lambdas are awesome, but when you are just starting out in your first programming course, the deep theory behind why lambdas are so interesting will almost certainly be lost on the students. It's like building up a field of math from, say axiomatic set theory or algebra. By the time you get to multiplication and fields (perhaps akin to variables or for loops in programming), you gain a very deep understanding and appreciation for the topic that can only be gained by this bottom-up problem based approach, but then again, a non-mathematician (or non-computer scientist) could have probably just assume the existence of multiplication or loops for the sake of solving higher-level problems.
But, even if they are improved, almost every student watching that lecture will miss a big part of the humanities--being with peers, actively engaging in group discussion, and finding responses to questions by actively synthesizing information. Having an interesting discussion is like finally coding something interesting with a new programming language you just picked up. Learning the facts or the syntax isn't the point.
Khan has the vision that these videos will be used in conjunction with classroom teachers, but with roles reversed from the current school system--students will watch lectures on their own time, and in class, they will engage in discussions and doing practice problems. This seems to be the part that was missed in the article, and much of the discussion here. If that symbiosis is executed correctly (and the lectures are improved), this could be powerful.