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Obamacare Health Exchanges: How Oregon Got It Done
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Alex Kane Rudansky
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Alex Kane Rudansky,
User Rank: Author
10/1/2013 | 4:40:35 PM
re: Obamacare Health Exchanges: How Oregon Got It Done
Regarding politics... From Obama's interview yesterday with NPR:

"In the first week, first month, first three months, I would suspect that there will be glitches. This is 50 states, a lot of people signing up for something. And there are going to be problems. And I guarantee you, there will be problems because we've got precedent. When Massachusetts, just one state, set this up, it took quite a long time. It took several months before everything was smoothed out. Of course, the same was true with Medicare and Social Security and every other social program that we've set up, the Children's Health Insurance Program."
MedicalQuack
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MedicalQuack,
User Rank: Moderator
10/1/2013 | 6:39:03 PM
re: Obamacare Health Exchanges: How Oregon Got It Done
You know why did HHS not call the web portion with automated purchasing a "beta" as that's what it is and also focus a little more on the contingency support...show addicted to data everyone is. Do you see Apple or Microsoft putting out a new operating system without a beta, duh? So you have one of the larges integrated data projects in US history and it can't be called a "beta" while the bugs are worked out? People know what a beta is and you get more sympathy that way too with the bugs..duh?

Hats off to all the technology folks working on all the projects too.

http://ducknetweb.blogspot.com...
Laurianne
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Laurianne,
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10/1/2013 | 7:20:01 PM
re: Obamacare Health Exchanges: How Oregon Got It Done
"Ruthless incrementalism" is a strategy most IT people can relate to and support. 1700 rules? I'd hate to try to make sense of that the old fashioned way with paper.
Ken Terry
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Ken Terry,
User Rank: Apprentice
10/1/2013 | 7:38:30 PM
re: Obamacare Health Exchanges: How Oregon Got It Done
Great story, Chris. I'm afraid that Oregon's experience points to even greater problems in other states that aren't as committed to making this work. Also, the feds are running the exchanges in many states, and I wonder what problems they're encountering in dealing with local conditions. One size doesn't fit all.
Thomas Claburn
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Thomas Claburn,
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10/1/2013 | 8:05:11 PM
re: Obamacare Health Exchanges: How Oregon Got It Done
The fact that the government isn't mailing out brochures scanned into PDFs and burned onto CD-ROMs should be considered a major IT victory, regardless of glitches.
ChrisMurphy
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ChrisMurphy,
User Rank: Author
10/1/2013 | 8:39:10 PM
re: Obamacare Health Exchanges: How Oregon Got It Done
Karjala made a similar comparison in our conversation -- that opening it up just to the agents and community partners was very much like the way Apple or Google would open up news systems only to a select group of developers or beta testers.
ChrisMurphy
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ChrisMurphy,
User Rank: Author
10/1/2013 | 8:44:08 PM
re: Obamacare Health Exchanges: How Oregon Got It Done
I exchanged messages with Karjala about results from the launch: the site had 1,400 to 5,000 users on the public site at a time; had more than 100 agents successfully get on the system by mid-day; and had collected applications for enrollment. He said there were "a couple minor glitches which we resolved within minutes."

I was browsing the site around mid-day and got a "whoops looks like something went wrong" message when trying to look at medical plans, but that was fixed soon thereafter.
David F. Carr
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David F. Carr,
User Rank: Author
10/1/2013 | 9:01:03 PM
re: Obamacare Health Exchanges: How Oregon Got It Done
Except if I understand right, he's only giving himself a few weeks of "beta" breathing room
ChrisMurphy
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ChrisMurphy,
User Rank: Author
10/2/2013 | 12:38:23 PM
re: Obamacare Health Exchanges: How Oregon Got It Done
Right, though there's no hard-and-fast public launch date. I think MedicalQuack makes a great point that all these sites would've been wise to just call the first month a beta launch, admit the reality they all knew that these sites would have problems.
Mordock
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Mordock,
User Rank: Apprentice
10/4/2013 | 8:16:53 PM
re: Obamacare Health Exchanges: How Oregon Got It Done
1700 rules? Those can't all be from Obamacare. If the Obamacare people created that many options for subsidies, then they are idiots.

The bottom line is that nobody is capable of managing 1700 rules manually, not even someone with serious insurance training let alone Sally Jones, recently laid off single mother who never finished high school and needs health insurance now. I have been self-employed many times over my life and health insurance has always been a major hassle even when not eligible for any kind of subsidies. Who knows, with that many options, maybe I was and didn't have any way of knowing.

This is just another example of how Health Insurance is broken in America and how these exchanges should have been set up years ago before Obama even became President. The Insurance Commissioners of all 50 states should be ashamed of themselves for not doing this 10 years ago. Once they get these done, they should start work on exchanges for Auto Insurance, Home Owners Insurance, Life Insurance and every other kind of Insurance that the Insurance commissioners regulate.
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