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In mid-2010, the already frenetic Todd Park was in overdrive. President Obama had just signed the Affordable Care Act into law, the most significant reform of the American health care system since Medicare. It was Park’s job to figure out how government could use technology to make the law’s implementation as smooth and fruitful as possible. 

As the Health and Human Services Department’s first chief technology officer, Park had a broad mandate but not a lot of staff. The idea behind the new position, he says, was to act like a “lean startup” smack in the middle of a mammoth federal agency, pulling together tools and resources on the fly to meet a particular need.