Precedent Case

HealthCare.gov Turnaround

War-room governance and decisive triage can stabilize a failing system fast.

Context + constraints

  • High public visibility
  • Complex vendor landscape
  • Reliability and performance issues at launch

Trigger

System failure and public pressure required immediate stabilization.

Intervention design

  • Establish a war-room model with clear authority
  • Instrument the system to see reality
  • Prioritize stability and performance before feature work

Execution mechanics

  • Daily checkpoint meetings
  • Clear ownership and escalation
  • Release discipline with measurable targets

Outcomes

  • Stabilized performance
  • Restored user trust over time
  • Operational clarity under pressure

Transfer mechanism

  • Shared dashboards and metrics
  • Governance cadence
  • Clear accountability structure

Genesis Forge design takeaway

When systems fail, governance becomes the product: clear authority, live metrics, and daily decisions beat consensus.

Citations

  1. Public reporting on HealthCare.gov turnaround
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