John McKown writes:
>The chances of us getting a current machine depends quite a bit
>on the US Supreme Court's decision on "Obamacare", especially the
>80:20 rule. Which has destroyed our profitability. We basically
>cannot run the company on only 20% of our policy income.

Apologies in advance for the digression. First of all, I suspect there are
many readers on this list who would be delighted to collect 20% of revenue
in overhead and profit. Anybody who works for a supermarket company, for
example, would be thrilled with that percentage. Anybody in the financial
industry as well. (Vanguard, for example, charges 0.2% to manage its
typical mutual fund.)

No, what's really going on in your industry is that the bigger medical
insurance companies wanted several things in the new legislation, and they
got them all. They wanted government fines imposed on individuals who did
not buy their product. They did not want the government itself, which is
much more efficient in this area (and in some others), to provide even the
option of public insurance. And they themselves wanted the 20% "limit" on
overhead. Why? Because if you're big, that limit automatically gives you an
advantage. The bigger you are, ceteris paribus, the more efficient you will
be at processing/denying claims, because the fixed costs of doing business
are less significant relative to your higher volumes.

So that's what's really going on, that the bigger insurance companies in
your own industry are trying to squeeze out your company and deter market
entry. (And don't blame the President. The new law is straight out of The
Heritage Foundation's policy book and virtually identical to then-Governor
Mitt Romney's system in Massachusetts.) I can assure you that "all" of
those bigger companies have mainframes, and they use them. It probably
doesn't help that your management has apparently chosen an IT strategy that
is not known for fostering and supporting efficient growth. The costs of
that IT strategy tend to grow more aggressively, more linearly, compared to
the IT strategies in place at most of your competitors.

During the big banking merger wave in the U.S., you could actually see this
phenomenon at work. (I observed it, at least. I don't know if anyone else
noticed.) In simple terms, the "mainframe" banks gobbled up the
"non-mainframe" banks. Coincidence? Probably not.

Anyway, I only speak for myself, and sometimes not even that much. :-)

--------------------------------------------------------------------------------------------------------
Timothy Sipples
Resident Enterprise Architect (Based in Singapore)
E-Mail: [email protected]
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