I think the reason for these State and Federal health exchange failures is they are like the hub of a wagon wheel. Spokes radiate out to the IRS, to numerous insurers and HMOs, to Medicare to various state agencies.... That were are all supposed to accurately and efficiently communicate with the hub exchanges so that a consumer on the exchange website can get quick accurate answers as he looks though his (her) health options under KenyanKare
IMO all of the above entities are using different computer systems and it is nearly impossible to get them to communicate properly with the health exchange hub. Many levels of Gov’t have hellish legacy systems that only work within a particular agency. Insurers have better systems but are still limited in communicating with the bub
Oh, I certainly agree with you on the data exchange thing. But in the formulation of all this - the overarching goals and directives by government management of all this - they assumed that all that would be seamless.
The fundamental problem was arrogant government dogma over the practicalities of execution. IOW, all those little problems couldn’t be fixed by ‘decree.’