Comments
Oregon Dumps Failed Health Insurance Exchange
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mak63
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mak63,
User Rank: Ninja
5/12/2014 | 2:31:58 AM
thanks
I'd like to thank the author for this article. It saved me a lot of time last month trying to sign up on the Oregon site. I hope everything goes smoothly on the HealthCare.gov website.
SachinEE
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SachinEE,
User Rank: Ninja
4/29/2014 | 3:26:21 PM
Re: Too damn complicated
I though the whole idea behind Obamacare in the first place was to make healthcare insurance accessible to everyone and not only accessible but also efficient in its delivery. Now with all these hiccups and complicated structures, I can't help but think that even if the website turned out to be fully functional, the average, regular man in the deeps of Oregon would still have no idea about how to even apply for the cover through the site.
SachinEE
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SachinEE,
User Rank: Ninja
4/29/2014 | 3:22:48 PM
Re : Oregon Dumps Failed Health Insurance Exchange
The much hyped launch of Healthcare.gov turned out to be far from what everyone had been expecting. Even the most conservative of voices couldn't help referring to the project as a flop. Now we are seeing a very similar picture in so many states that are trying to implement their own insurance exchanges. Could this be a simple case of failures trickling down from the top to the bottom?
Shane M. O'Neill
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Shane M. O'Neill,
User Rank: Author
4/25/2014 | 5:29:15 PM
Re: Too damn complicated
Man, it's getting tough watching governments try to manage their own complex tech deployments. I'm all for rolling up your sleeves and building your own stuff. But the smart man knows when he's over his head and that the finished product is too important to screw up. Hopefully states will learn from this how damn hard it is to be your own system integrator.
Charlie Babcock
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Charlie Babcock,
User Rank: Author
4/25/2014 | 5:19:00 PM
Next time, do everything in the cloud
The systems integration issue would be easier to manage if HealthCare.gov started wtih a clean slate and did everything in the cloud. Instead it's a mishmash of ancient government systems behind Medicare and Medicaid trying to be given an online, functional face. And how many private systems get tied in to achieve those insurance quotes? It's a Rube Goldberg machine, no matter how you look at it.
Alison_Diana
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Alison_Diana,
User Rank: Author
4/25/2014 | 4:51:33 PM
Re: Too damn complicated
Wouldn't it be nice if, before they take this doomed approach again, government officials read your comment @Doug? However, I'm not going to place any bets on it. No doubt we'll soon see another agency or state decide it can be its own SI, a complex task that takes multiple experts across many fields. 
David F. Carr
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David F. Carr,
User Rank: Author
4/25/2014 | 4:35:10 PM
Re: Too damn complicated
Well said, Doug. This seems to have been a combination of setting ambitious goals for the site and system architecture, combined with a misplaced attempt to save money with a do-it-yourself strategy. Worked out a lot like my do-it-yourself projects around the house, now that I think of it.
D. Henschen
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D. Henschen,
User Rank: Author
4/25/2014 | 3:57:54 PM
Too damn complicated
Taxes, health insurance, zoning... so many things the government touches are way more complicated than they need to be. If we can get the lawyers, lobbyists, and special interests out of the way, things might be much simpler. At every turn it seems you have to hire high-priced talent to navigate your way through all the complication.

Oregon's mistake seems to be thinking it could be its own integrator. Maybe the very messy model of our own government -- checks and balances -- would have been more effective? With an integrator holding vendors accountable, all Oregon would have to do is write the check for the results requested. Integrator doesn't deliver? Integrator doesn't get paid. Buyer beware of your own ability to screw things up.


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