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Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer Ben LaBelle, Associate Director of Infrastructure Services WA Healthplanfinder Platform Update

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Page 1: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

Washington Health Benefit Exchange

Exchange Board Meeting September 13, 2018

Vincent Barrailler, Chief Information OfficerBen LaBelle, Associate Director of Infrastructure Services

WA Healthplanfinder Platform Update

Page 2: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

HBE IT Roadmap

2

Our 2020 Priorities:• Modernize HPF and supporting infrastructure• Improve customer digital experience• Continue to stabilize to prepare for growth

Quality Assurance

2020

2020

Q3 2018 Q4 2018 Q1 2019 Q2 2019 Q3 2019 Q4 2019 Q1 2020 Q2 2020 Q3 2020 Q4 2020

2018

Q2 2018Q1 2018

Q3 2018 Q4 2018 Q1 2019 Q2 2019 Q3 2019 Q4 2019 Q1 2020 Q2 2020 Q3 2020 Q4 2020

2018Q2 2018Q1 2018

2019

2019

Internal Milestone

External Milestone

Activities

Planned Projects and Milestones

HPF

External Partner Systems (ES, P-One)

Annual Open enrollment and 1095

Activities

Operational Efficiencies

Internal Systems

Supporting Ecosystem (CSA,

WMT, Edifecs, Auto Recon, eHealth,

Content Mgt, Federal Reporting)

HPF R4.1 Go Live

Go-LiveGo-Live Including Increased Carrier Integration*

V2 Automated Federal and 1095 Reports

Edifecs with Enhanced Reporting

CSA 3.0 Go Live, including WMT consolidation and P_ID Clean up ToolCSA 5.0 Go Live*

CSA 4.0 Go Live WMT 2.0 Go Live

Go Live

Go Live Go Live

Go Live

Go Live

Go Live

Mar 2016 Apr 2016 May 2016 Jun 2016 Jul 2016 Aug 2016 Sep 2016 Oct 2016 Nov 2016 Dec 2016

2016

Mar 2016 Apr 2016 May 2016 Jun 2016 Jul 2016 Aug 2016 Sep 2016 Oct 2016 Nov 2016 Dec 2016

2016

Mar 2017 Apr 2017 May 2017 Jun 2017 Jul 2017 Aug 2017 Sep 2017 Oct 2017 Nov 2017 Dec 2017

2017

Feb 2017Jan 2017

ES CD Release

Financial Management System

P-One Release

ES Release

P-One Release P-One Release

ES Release

Manual P_ID Clean up

Data Warehouse Pilot Implementation

P_ID Clean up Through Utility

Trial Eligibility / Optimization

Carrier Readiness Support

WAH Renewal Improved Process

Data Fix Reduction Initiative

P_ID Clean up Through CSA

Trial Eligibility / Optimization

1095 Readiness

P-One Release

HPF Release 3.2HPF Release 4.0

Edifecs Stabilization Edifecs Release Edifecs Release

CSA 3.0

Improve 1095 / Federal Automated Reporting

Content Management System

eHealth Release

CSA and WMT 4.0

Data Quality

Mar 2017 Apr 2017 May 2017 Jun 2017 Jul 2017 Aug 2017 Sep 2017 Oct 2017 Nov 2017 Dec 2017

2017Feb 2017Jan 2017

Budgeting, Resources and

Strategic Initiatives

Launch IT Innovations Team*

PMG Launch and Zendesk Clean up Expand CCB Responsibilities to all Systems in IT Ecosystem*

Expand Production Control to Edifecs Launch New Change Management Process

Expand Production Control to HBE Infrastructure

Standardizing SDLC Practices and Artefacts Across all Systems*

Infrastructure

Security, Privacy, Audits

Db Server Rationalization and Streamline

Network Plan

PIA Resubmission

ATC Review and Renewal IRS Internal Inspections Report

MARS-E 2.0 Compliance

App Viewer Sun Setting

CEV Backlog and Clean up

Updated Team Structure

Adobe Live Cycle UpgradeAdobe Live Cycle Version Upgrade

Draft IT Budget Including:• Deloitte contract• eHealth contract• DSHS agreement

Draft Five Year Roadmap View

OE Readiness: Benchmarks and SLAs OE Readiness: Benchmarks and SLAs

HBE – Deloitte Process ImprovementsDSHS SLA

Web CMS 2.0

IRS SSR and CAP

Security Policy ReviewSSP 1/3rd Control AssessmentIRS CAP

PIA Resubmission IRS Audit

Correspondence Release

Deloitte Contract Negotiations

HPF R4.0.1 Go LiveHPF R4.0.2 Go Live

CSA and WMT Go Live

Correspondence Release

HPF Mobile Go Live

Reporting Automation and Streamlining Initiative

Go LiveP-One Release P-One Release P-One Release P-One Release P-One Release

Go LiveES Release Go LiveES Release

Microsoft EA Agreement Active Directory Clean Up

CSA Go Live

COR Go Live

Edifecs ReleaseEdifecs Defects and 4.1 Alignment Release

Go Live

eHealth Transition

Internal Vulnerability and Risk Assessment

Go LiveES Release Go Live

WAH Renewal Fast Path Improvements

Call Center Infrastructure and Network Improvements

PMG 2.0 Implementation

Change Management 2.0 Implementation

Onboarding Improvement Project

Customer Shopping Tool ProcurementProvider Directory Procurement

CSA Go Live CSA Go Live

COR Release

CDST Implementation

Provider Directory Implementation

CDST ReleaseEdifecs Release

Edifecs R8.6

HPF Release 5.1

CSA Multiple User View Implementation

SEP Operationalization Readiness

Mobile 2.0 Launch and Responsive Web

Implement Secured Dev Life Cycle

Provider Directory Data Improvements with Carriers

OLA and SLA Documenting and Communicating

Samanage Portal Launch and Training

IT Portfolio Portal, System Services and System Ownership

Printer Contract Review

O365 Optimization

Intune MDM

HPF HW Options Assessment: Cloud vs. S-24

SCCM Client / Desktop ReportingFirewall Lifecycle Voice / Telecom Implementation

SIEM Implementation

Risk Mitigation PlanWork Station Baseline Server Baseline

Cybersecurity Plan IRS Audit Mitigation

Software Licensing AssessmentBi-Annum Budget Planning Process

Berry Dunn HPF Procurement Planning

Quality Board Re-Launch and Improved SDLC Quality Gates

New UI/UX Milestones

Centralized Patching / Config Management Plan

Internal HBE Infrastructure Hosting Plan

Risk Mitigation Plan Implementation

FY19 Contracts Review

Managed Services Implementation

HPF Release 6.0

Go Live Go LiveES Release

CSR: CSA vs. HPF Use Guidance

2020 VisionFunctionality• Nimble, able to support ever changing health care regulations and reforms• Providing recognized value add services to individuals, carrier, brokers and navigators• Continuous delivery of improved customer features and toolsTechnology• State’s most modern applications and infrastructure• Constant identification and evaluation of new technologies to incorporate into our ecosystem• Digital leader, including mobility and accessAvailability• Available to external customers 24/7 through multiple channels• HPF partial availability or queuing when partners are downFlexibility and Innovation• Helping resolve complex challenges in health care and/or State government beyond current customers and services• Reduced share of budget dedicated to maintenance and operations, increased share dedicated to innovation and

enhancements• Flexible and responsive infrastructureSecured and Trusted• Guided by comprehensive cyber security plan with supporting resources and processes• Cutting edge incident monitoring and response capabilities

Budget and Resources• Clear growth path for IT staff• Cross trained and nimble staffProcesses• Clear set of services with associated SLAs• Standardized systems and processes• Increasingly agile delivery• Robust IT and data governance• Continuous improvement as part of the organization’s DNA

Architecture and Stack• Best in class architecture supported by best in class technology stack• Consolidated IT assets and increased HPF / HBE synergies

• Increased access and ownership by HBE IT staff• Transition away from non value add, high price vendors and products

Internal Customer Support• Transparent customer channels• Automation and workflowsSecurity• Security as part of the organization’s DNA• Recognized leader in cyber security

HPF Release 4.2

P-One Release P-One Release

ES Release ES Release

FY18-19 Budget Planning Activities

BITT Project Support

Oracle Negotiations

Laptop and Desktop Modernization, Desktop Automation, Single Sign OnImproving Network Security, Including Network Enhancements and Re-Architecture, External NATS Repointing, IDS Implementation and Web Filtering

Windows 10 DeploymentSamanage Clean Up and Process Implementation

Hardware Consolidation and Reduction Re-Architect Server Environment, Cluster ImplementationPassword Tool Implementation

HCA SLA Agreement

1095 Readiness

SharePoint Improvement Project

Reporting Automation and Streamlining Initiative

1095 Processing and Handling

Post OE Lessons Learned Implementation

HPF Performance Testing Improvements

HPF ADA Compliance Improvements

Relaunching BI Committee and Governance

CSA and WMT 5.0

HPF Release 5.0

Edifecs Release

HPF Release 4.1

HPF S-24 Contract Transition

OIM Ps3 Upgrade / Release 5.2

Azure Transition

Mobile 2.1 Launch and Responsive Web

SBMI Reporting

HPF Cloud Architecting and POC

Internal Network Improvements

Close Out Surface Roll Out

BI Website

Call Center Procurement Project

Server 2016 Transition

BI Dashboards Launch

PMG 3.0

Onboarding Process Improvements

OE5 Lessons Learned and OE6 Planning

WAH Renewal Improvements

VMWare Cutover

Mobile 3.0 Launch

Go LiveES Release Go LiveES Release

P-One ReleaseP-One Release

Analytics System project

APCD Collaboration and Poster

Automation of X% of Reports

TE Automation improvements

Navigator Lead Orgs New Tools

Password Rule Simplification

Account Data Clean up

Security and IT Policy Drafting

PEBB/SEBB Assessment

Medicare Assessment

HPF Archival Strategy and Implementation

HPF Release 6.1

HPF 2025 Digital Strategy

HPF Release 5.2

HPF Agile Pilot

CSA Agile Pilot

CSA Go Live

Granicus Implementation

Call Center Improvements: CSA Integration, Security, etc.

IT and Security Five Year Plan Development

Managed Services Assessment

P-One Release P-One Release P-One Release P-One Release

Go LiveES Release Go LiveES Release

P-One Card Go Live

Mobile P One Card Go Live

R5.2.1 Go Live

Oracle Other Product Upgrades and Transition

Azure ATC and POAM Submission

HPF M&O Reprocurement

CSA Agile Releases

Assess Edifecs L-T Plan

Assess AEM L-T Plan

S-24 Prod Stabilization

WiFi and Room Upgrades

Centralized Certificate Authority

Page 3: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

Key Initiatives

3

• HPF security suite upgrade

• Cloud transition and HPF Oracle software upgrades• Transition from waterfall system development methodology

to agile

• HPF Customer centric enhancements

• SI contract reprocurement readiness

Page 4: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

HPF security suite upgrade

4

• HPF is integrated with Oracle security software to manage all user access, authorization and authentication

• Project Background• HPF was using an older version of the Oracle security software

which was under “extended support” and encountered a few outages in production in 2017

• This software was our biggest risk entering last year’s open enrollment period

• A DP was approved to upgrade the security software to a more recent version

• Project Scope• Upgrade Oracle security software to a newer version which will

mitigate known issues, reduce the number of different software products and modernize our capabilities

• Implement new product suite and features including password simplification

Page 5: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

HPF security suite upgrade - Outcomes

5

▪ 75% decrease in “Password” FAQ searches

▪ Average time spent changing a password is 25 seconds (previously up to 1 minute)

▪ Average time spent creating an account decreased by 16 seconds

▪ Average time spent unlocking an account decreased by an average of 20 seconds

▪ 23% decrease in customers who forgot password

Page 6: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

Cloud Transition

6

Page 7: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,
Page 8: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

On and Off

Unpredictable Bursting

Growing Fast

Predictable Bursting

Page 9: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

HPF after Migration to Azure-G

Current vs Cloud

Physical Servers Infrastructure(as a Service) (IaaS)

Current HPF

Page 10: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

HPF Cloud migration key driving factors

Projected Cost Avoidance

• Annual cost avoidance of $950,000 - $1,200,000

• Five year cost avoidance of $4,800,00 - $6,000,000

Simplified M&O• Forces constant

modernization

• No life cycling of equipment

• Access to more computing power with out capital outlays.

Improved Security

and Compliance

Page 11: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

No more wasting

Equipment No more HPF Equipment

Decision Packages

High level of Scalability

and Flexibility

Access to hundreds of services & solutions

Self healing

Detailed cost and spending

Improved Security and Compliance

Improved System

Visibility

Better use of Decision Packages

Disaster Recovery

IntegratedAccess to new technologies

Better tools for system stability and

monitoring

What are the other benefits of Cloud for HPF?

No growth limitations

Improved loss

prevention

Supports microservices, Simple APIs,

and automation

Constantly updated

Page 12: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

• Cutover to Azure-G for HPF• Turn off old environment• Decommission old environment

before June 2019

HPF Live in Azure-G

Build out Servers• Setup developer tools• Setup developer access• Run validation and scans• Start the development of 6.1

Development(Phase Three)

• Build out Servers• Install and configure applications• Import production data• Run validation and scans• Deploy HPF code• Test DR cutover

Production / DR(Phase Three)

Aug-Oct 2018In Progress

Nov-Dec 2018Not Started

Jan-Mar 2019Not Started

April 2019

HPF move to Azure-G Timeline

Jan-Aug 2018Completed

Design and plan Azure HPF system. Outline migration plan for all components. Setup base Azure platform systems. Deploy updated HPF system. Test and fix security and functionality.

Architecture & POC-Proof of Concept(Phase One & Two)

• Build out Servers• Install and configure applications• Deploy test Data• Run validation and scans• Deploy HPF code

UAT / Stress / TRN(Phase Three)

Page 13: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

Transition from waterfall system development methodology to agile

13

What is Agile?

Page 14: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

Transition from waterfall system development methodology to agile

14

Why Agile at HBE?• Puts customer at the center of system enhancements

through iterative sprints• Increases frequency of system changes• Introduces efficiencies while streamlining workload

How?• Completed two proofs of concepts for our systems• Launching four agile scrum teams this fall• Planning to use agile for all system changes starting in April

2019

Page 15: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

HPF Customer centric enhancements

15

• Revamped call center IVR

• Improving renewal process for WAH and QHP• Giving HPF a single look and feel, regardless of where

customer is accessing HPF from

• Mobile Application WAH enrollment card access

• Chat implementation

Page 16: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

SI contract reprocurement readiness (1)

16

• Procurement Background• CMS requires HBE to reprocure its SI contract on a

periodic basis• HBE hired Berry Dunn to draft an RFP with us

• Procurement Goals• Right size the suite of services performed by our SI

while focusing on value• Align services to HBE process changes and to more

relevant SLAs and metrics• Identify an SI who will be focused on HPF

modernization, customer centric design and growth

Page 17: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

SI contract reprocurement readiness (2)

17

• Procurement Timeline:• April 2019: RFP drafted• Fall 2019: RFP released• March 2020: New SI contract signed

Page 18: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

Appendix

18

Page 19: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

HPF Azure Migration Approach

Phase One

Planning & ArchitectCompleted

1. Fully understood and documented solution.

2. Detailed documentation for all components in HPF.

Phase Two

Proof of ConceptCompleted

1. Faster than current system.2. More secure.3. Systems are updated to

newest possible software.4. No identified show

stoppers for production.

Phase Three

HPF Full MigrationIn-Progress

1. Modular and flexible Infrastructure.

2. Performance with reduced cost.

3. Agile environment.4. Most secure in class system.5. Scalable to meet HPF user and

organizational need

Page 20: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

HPF after Migration to Azure-G

Current vs Cloud

Physical Servers Infrastructure(as a Service) (IaaS)

Platform(as a Service) (PaaS)

Software(as a Service) (SaaS)

Current HPF

Page 21: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,

Argentina PDPA

Canadian Privacy Laws

CDSA China GB 18030

China MLPS China TRUCS CRS CSA CCM CS Mark (Gold)

DIACAP DISA

ENISA IAF EU Model Clauses

EU-U.S. Privacy Shield

FACT FDA CFR Title 21 Part

11

FedRAMP FERPA FIPS 140-2 FISC FISMA GxP

HIPAA/HITECH

IRAP (CCSL) IRS 1075 ISO/IEC 27001 ISO/IEC 27017 ISO/IEC 27018 ITAR Japan My Number Act

MARS-E MPAA MTCS

NIST 800-171 NZCC Framework

Section 508 VPATs

SOC 1 SOC 2 SOC 3 Spain ENSPCI-DSS UK G-CloudSHARED ASSESSMENTS

Industry’s Largest Compliance Portfolio

Page 22: Washington Health Benefit Exchange€¦ · Washington Health Benefit Exchange Exchange Board Meeting September 13, 2018 Vincent Barrailler, Chief Information Officer. Ben LaBelle,