Obamacare Health Exchanges: How Oregon Got It Done - InformationWeek

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Obamacare Health Exchanges: How Oregon Got It Done
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EarlWer
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EarlWer,
User Rank: Apprentice
4/25/2014 | 9:59:54 AM
Re: 6 month follow-up
Some automative magazines run long-term tests.  They report back every year (or so) on repair costs, etc.

It would be interesting to have a 'One Year Later' follow-up on the various IT projects that are announced and then disappear.  If this project was not part of the ACA it would have disappeared, along with millions of dollars of our hard-earned tax money.  
David F. Carr
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David F. Carr,
User Rank: Author
4/25/2014 | 9:46:09 AM
Re: 6 month follow-up
EarlWer
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EarlWer,
User Rank: Apprentice
4/25/2014 | 12:58:30 AM
6 month follow-up
This is a typical government IT project.

How Oregon Got It Done?  They didn't.


$300 million later, everyone is fired and the project never worked.

http://www.washingtonpost.com/national/health-science/obama-administration-prepares-to-take-over-oregons-broken-health-insurance-exchange/2014/04/24/ff9aa220-cbc4-11e3-95f7-7ecdde72d2ea_story.html

What. A. Joke.

Here's an idea, if you have the intestinal fortitude.

Instead of puff pieces on taxpayer projects that are almost guaranteed to fail, what about a yearly follow-up on what actually happened to the projects you reported on in the past?

You may be unpleasantly surprised by the billions of dollars spend on government IT projects that never worked or needed additional funds or were simply shutdown.

 
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.
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.
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
10/1/2013 | 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.
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.
Thomas Claburn
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Thomas Claburn,
User Rank: Author
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.
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.
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