Disrupt Bureaucracy!
summary
Healthcare.gov relaunch describes a rescue where a five-person team installed New Relic to measure uptime, discovered the database was queuing and reduced response from ~2 minutes to ~30 seconds after ~90 hours, and set up a war room with three rules to prioritize fixes and let engineers speak. Initial launch has ~hundreds of thousands of visits with only six successful enrollments, 250,000 signups by October, ~2 million by December and ultimately ~8 million by April, showing iterative releases and simplified approvals make the system work.
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