Skip to comments.‘HealthCare.gov is in de facto shutdown’
Posted on 10/23/2013 12:19:32 PM PDT by kristinn
Robert Laszewski is president of Health Policy and Strategy Associates, a policy and marketplace consulting firm that has him working closely with many in the heath industry as they try to navigate the Affordable Care Act, as well as the author of the excellent Health Care Policy and Marketplace Review blog. As such, he has a unique view on how the rollout looks from the industry side. We spoke on Wednesday. A lightly edited transcript of our conversation follows.
Ezra Klein: We last talked about 10 days ago. So in the interim, what are your insurance industry sources saying has changed on HealthCare.gov?
Bob Laszewski: Really nothing. There are two sides to this coin. The numbers of people enrolling and then the problems in processing enrollment information between federal government and insurance companies. If I were spinning for the White House I would say enrollment is up 50 percent! But thats because its up from like 10 a day to 15 a day. I havent talked to large insurers seeing more than 100 enrollments a day.
On the backdoor, the 834 connections, I had one client tell me they saw some improvement in the error rate, so I checked with three other clients, and they said they hadnt seen any improvement.
EK: So most people cant actually buy insurance through the Web site yet, and those who can may not be sending the right data to insurers?
BL: I almost have the sense that HealthCare.gov is in de facto shutdown. Heres why: Government has to fix the back end before the front end. The demand here is real. I dont think anyone can dispute that millions of people want to sign up...
(Excerpt) Read more at washingtonpost.com ...
Blaming others for ones own actions or inactions is a direct indicator of someone who refuses to take responsibility for their own actions or lack of actions.
Two year old children often behave that way: Barry, Holder, Reid, Pelosi, Mrs. Bill Clinton, McCain - - - did I leave anybody out?
I wonder why president stampyfoot felt it was better to throw $600 million away on a simple sign-up website that still doesn’t work rather than simply take what Mitt Romney implemented seven years and adapt it for national use.
Oh, I can dispute that.
They have a gun in their face and/or have been kicked off their current insurance
and he makes it sound as if they are flocking to it because they’re so excited about it.
The only ones that are excited about it are those that think they’re going to get something for nothing.
Obama wants America to be a third rate nation in every respects. It is as if he is an answer to the annoyed British or Canadian socialists who came to America to get medical treatment.
I don’t doubt it. A lot of Medicaid people think it will average them up, and a lot of other Obama voters still think it will be free.
But no one who is working and has insurance wants in.
Perfectly true. But the "back end" in this case isn't a database, it's the legislation itself. Here's an example:
This  process is decades old. Every union and every self-insured employer who contracts with an insurance company uses it. Its like a 74 Ford pick-up truck. Theres nothing complicated about it. People in the industry are shaking their heads over the errors theyre getting. Theyve been using this process for many years. No one has ever seen these kinds of errors before. No one has any idea where theyre coming from.
Here's a systems question so basic that every IT professional gets tired of hearing it: if it worked before, what changed? What served to change the relationships, the reporting, the established pipelines? The first place to look isn't the software, it's the underlying model. 0bamacare changed a very great deal of that. And by "changed" I mean "broke".
Hope and change. Give up the hope and embrace the broken.
The lawsuit settlement with The Post is for 300 word excerpts. That’s why the article was cut off where it was.
Millions want to log-on and get their free healthcare.
Once the site is working they’ll quickly be disabused of that notion.
It’s also being hacked and contaminated with malware...
AHHHH, I got nailed :)
it was good though!
For Ezra Klein at the WaPo to write this is a hint that the disaster is far bigger than even this gloomy assessment.
Not pretty and this is being put out by one of the most hardcore, MSNBC contributing, uber-lefties you can find. In essence by publishing the interview instead of reporting it, he is letting his source point out that the Administration has been lying about improvement.
I wonder how many unemployed software people are out there having their way with it.
So they’ve brought in a “turnaround artist” now to kick Sebelius to the side and try to get this thing working.
Wouldn’t it be ironic if the turnaround artist they brought in was Mitt Romney?
If the American people want socialism, they ought to at least elect someone with experience running SOMETHING to implement it. Not a f$&%in’ community organizer.
Now they are just talking about the disastrous website. Wait until people get to sign up and are shocked by what happens next. People honestly think they were going to get free healthcare or free insurance.
Read it and weep
Why not? They are getting free Obamaphones (which also tend to work disastrously).
Agreed. I don’t think “want” is the right word. “Are being forced” is more like it.
The only community that Obama ever organized is the opposition. I have never seen the conservative grassroots so commited against his tyranny.
And when they eventually able to access the website, they will have a great surprise waiting for them. Only a $300/month premium and 6-10K deductible.
It is working just like it is supposed to. The idea of a working website and affordable insurance is not the objective. Killing off private insurance and installing government controlled health care is where. this has always been headed. Creating this broken system to frustrate the unwashed just pushes it over the cliff faster. The founders would have already killed have the problem off all ready but we sheeple array just rolling over and letting the commies. win.
not necessarily. The article warns they will show up at the doctor thinking they are covered and he doesn’t know them. They get a notice they are insured but their supposed insuror doesn’t know them either.
No, a lot of people want to know what it's going to cost them. With that website, they are forced to sign up BEFORE they can see how much it's gonna cost them.
I dont think anyone can dispute that millions of people want to sign up.
Yes, HealthCare.gov *is* shutdown. But don’t expect such an announcement forth coming. Allow me to explain...
Been in the web/marketing business for 14 years. That site (and everything that comes from it) was doomed the moment people began going to the site and saw all the errors, the lack of security, or couldn’t get through. Despite all the spin you may have heard, that alone killed it.
This administration (and their media court jesters) have this firm belief that unless they report it, it’s not news and therefore is not happening. That’s easy when something is happening out of your reach, or thousands of miles away. You can do your best to spin it to your liking.
The web world is a different medium all together. There is no media filter between you and a website. If it doesn’t work, you know it. I’ve heard the stories of people taking hours to get signed up. I doubt that. Ask yourself how long to you give a web site your visiting to work. According to anyone’s web stats, the average is usually measured in seconds, not hours.
They brag about all the sign ups, but won’t reveal (or let let insures reveal) the true sign up numbers. It’s like bragging about how many millions of people watch that show on your network last night - when the station was off the air the whole evening.
When the media really began reporting how bad the site was, my suspicions were that the sign ups had all but stopped at that point. the main story in the news cycle is how bad the site is, and you *really* think thousands are still trying to sign up? Get real.
And it goes beyond the site. As we say in the web world, ‘content is king’. No matter how good or bad your site is, if the content sucks, the site is doomed to failure anyway. In the case of this one, the prices being offered are not even close to being competitive to what’s in the marketplace. and forcing people to go to an overpriced product violates basic business laws. Regardless of how much power you think Washington has, they cannot force people to sign up on for a bad product on a site that doesn’t work, and my sources tell me the biggest problem they have with trying to fix the site, is that no decent programmers want to touch it (call it the John Galt Syndrome), or they want a King’s ransom to simply redo the whole thing.
The biggest issue is the whole rollout itself. The big box stores are getting ready for Black Friday and Cyber Monday right now. Beta testing and load testing is in progress. They plan to roll out on TV, print, radio and web - and a fraction of the costs. The government’s rollout consisted of some media hacks trying and failing to access the web site on national TV. It was pretty much doomed from that point.
In short, Ted Cruz et al has - as I predicted - been vindicated. If they don’t delay or scrap it altogether, the lawsuits will soon start after Jan 1 (when someone dies from losing their health insurance or the .gov site loses someone’s records), and some court(or state) *will* put a stop to it.
We will see...
Just because it’s mandated doesn’t mean millions of people WANT to sign up.
And the sign up is only half of the mandate. The mandate is that either you sign up or you pay a 1% tax.
Health-Care, Chevy Volt, Stimulus and Solyndra. Hmm, anyone wanna guess what they have in common?
Yes. linda Graham.
Paper applications and the call center is the only reliable way for folks to sign up right now. And let me repeat...just to sign up. Then they have to wait for the paperwork to be sent back to them showing what plans they are eligible for, possible financial assistance, etc.
No one will benefit much at all unless they qualify for the tax credits giving them a lower monthly premium AND the cost reductions (which help lower the deductibles and co-pays).
Otherwise, you may have a low premium, but those deductibles will be very high.
The media has been boasting of the low premiums. But they need to let people know about those really high deductibles and co-pays. People need to be warned!
And forgive my grammar error, let me correct it:
“Paper applications and the call center are the only reliable ways”
Very interesting ...
“I dont think anyone can dispute that millions of people want to sign up...”
Because, of course...it’s the law.
...and millions have been otherwise been thrown out of their previous insurance coverage...because of this law.