1. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. A Tale of Federal Marketplaces Kash Badami

2. IN THE BEGINNING 1000+ Pages of Legislation There Was…

3. CLOCK FROM HIGH NOON 18MONTHS TO DO IT ALL

4. CRISIS BECAME OCT 1

5. 7+ MILLION PEOPLE COVERED!

6. WHAT HAPPENED? WHAT DID WE DO TO FIX IT?

7. CMS REALIZED THE WAY THEY HAD BEEN BUILDING NEW SYSTEMS WOULD NOT WORK IN TIME

8. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 8

9. "I WANTED TO SHARE THIS WITH YOU SO YOU CAN SEE AND HEAR THAT BOTH MARILYN AND I UNDER OATH STATED WE ARE GOING TO MAKE OCT. 1” Henry Chao Lead Executive Healthcare.gov

10. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 10  A New Kind of Database/Data Layer  Eliminate months of data modeling upfront  Open Source Application Tier  Cost savings at scale  Agile Development  Make small changes quickly and test iteratively

11. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 11

12. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 12

13. ORGANIZATIONAL TRANSFORMATION IS THE ONLY WAY TO SUCCESS AND IT IS PAINFUL!

14. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 14 Architectural Mistakes  Model Driven Code Generators  Requiring activity models were orthogonal to agile development  Requiring a data model was also orthogonal to agile development

15. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 15 Data Hub Java App Server Federal Marketplaces Govt Agencies Issuers Same Architecture Different Thinking Hired new technology experts with experience on the new stack Trained their staff Changed their development methodologies Different RESULTS! State HIX Data Hub (Optum/QSSI)

16. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 16

17. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 17

18. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 18

19. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 19 Challenges  Data volumes  Repeat storage and retrieval of the entire Insurance Application, bad access patterns  Inefficient and extremely complicated to scale  Data Model  Large applications (multiple MB in size)  Huge plans ~= 5MB  Combination  Many updates to large documents = N * M problem  Client side paging of huge data sets  Inadequate Infrastructure  Infrastructure significantly taxed by poor application design  Tight coupling  Cannot change one layer without affecting Java (and even JavaScript) code Insurance Application Model Driven Architecture / UML Models Insurance Application

20. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 20  Operational Rigor  Fix the code  Standardize Infrastructure  Scale Out  Don’t point fingers! The Fix!

21. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 21 A Typical Day like Dec 3rd Over 31M System Transactions Processed!

22. 7 MILLION PEOPLE COVERED!

23. 2015: 11+ MILLION ENROLLED

24. © COPYRIGHT 2014 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED. SLIDE: 24  Supreme Court Upholds Federal Subsidies  More Data  Exploring Semantic Relationships Between Data  New Data Informs Policy  Issuers are evolving The Future