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The Launch and Challenges of Healthcare.gov: A Comprehensive Overview

This presentation by Susan Santos, delivered on June 9, 2014, delves into the background, functionality, development, and costs associated with Healthcare.gov, the federal health insurance exchange established under the Patient Protection and Affordable Care Act (PPACA). It covers the site’s launch issues, solutions implemented for improvement, and the progress made by April 2014 with enrollments exceeding 7 million. Explore the complexities of online healthcare access and the initiatives designed to improve affordability and insurance coverage for Americans.

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The Launch and Challenges of Healthcare.gov: A Comprehensive Overview

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  1. Healthcare.gov Presented by: Susan Santos June 9, 2014

  2. Topics • Background • Functionality • Development • Costs • Launch • Issues • Solutions and Results

  3. Background • 2010: Patient Protection and Affordable Care Act(PPACA)was passed • PPACA, Health Care Reform, Obama Care, ACA • Goals of increasing the quality and affordability of health insurance • How would PPACA reach its goals? • Lower uninsured rate by expanding public and private insurance coverage • Reducing costs of health care for individuals and the government • Mandates, subsidies and insurance exchanges

  4. Insurance Exchanges • Online marketplace • Federal, State and Private exchanges • Federal Exchange called Healthcare.gov • Designed to serve 36 U.S. states that did not run and maintain their own exchange • Website design overseen by Centers for Medicare and Medicaid Services • Built by various federal contractors

  5. Functionality • Acts as an online marketplace where consumers can view, compare and purchase approved health insurance in their states • Includes Medicaid and small business options • Medicaid is a social health care program for low-income families and individuals • Consumers sign-in, complete an application, and are able to view available plans as well as if they are eligible for a subsidy

  6. Development • At least 47 contractors have been said to be somewhat involved (not disclosed) • Front-end: Development Seed • Back-end: CGI Federal Inc. and Accenture • Digital Identity Authentication: Experian • Data Hub: Quality Software Services, Inc.

  7. Estimated Costs • Initial estimate: $70 million • October 2013: $292 million • December 2013: $319 million but could reach $677 million if all obligations are made

  8. Funding • Insurer Fees • Fees imposed on health insurance carriers that sell plans on Exchanges • Federal Administrative Funding

  9. The Launch • Scheduled for October 1, 2013 • Appeared to be up and running • Only 1% of interested consumers were able to enroll during the first week • Over 8 million people visited the site the first week

  10. Issues • Long wait times • Site functions were not working • Design did not support high volume • March 2013: Consulting firm McKinsey & Company assessed that site would fail if issues were not resolved • Deadline for enrollment was extended

  11. Solutions and Results • QSSI was put in charge of coordinating the resolution to the website problems • Jeffrey Zients was appointed by administration to act as the adviser • CGI Group was replaced by Accenture • Amazon Cloud • As of April 2014, more than 7 million people enrolled

  12. Quiz: • What was the name of the law that was passed that triggered the creation of healthcare.gov? • PPACA • Obama Care • ACA • All of the above • How much was the site estimated to cost initially? • $100 million • $25 million • $70 million • As of April 2014, how many people are enrolled in healthcare.gov? • More than 20 million • More than 7 million • More than 10 million

  13. Work Cited • http://en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act • http://www.washingtonpost.com/blogs/fact-checker/wp/2013/10/24/how-much-did-healthcare-gov-cost/ • http://en.wikipedia.org/wiki/HealthCare.gov • http://blogs.wsj.com/cio/2014/06/06/healthcare-gov-floats-to-amazons-cloud-in-revamp/ • http://www.foxnews.com/politics/2014/04/01/obamacare-sign-ups-reportedly-on-track-to-hit-7-million-but-will-pay/ • http://www.fas.org/sgp/crs/misc/R43066.pdf

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