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One Million Dollars or One Year

December 2, 2009

As we’re nearing the end of the 2010 planning cycle, it’s as good a time as any to reflect on how we plan projects and whether our processes are as effective as they could be. At one point or another, everyone working in IT has asked themselves, “Why is everything so complicated?” Priorities change, projects grow in scope, budgets shrink. All the while, we’re forced to explain to senior management what it is we actually ...

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The Problem with Pay-Per-Service in Healthcare and IT

September 18, 2009

I caught part of a Charlie Rose interview with Jay Rockefeller this morning (episode not online yet) and heard the senator say that pay-per-service healthcare is a bad idea.  Being deeply immersed in the cloud computing discussion that hangs its hat on a similar payment model, I paid more attention than I might normally.  He said it’s bad because it encourages providers to add more services to make more money – regardless of their appropriateness. ...

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