Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Healthcare.gov is fixed, or is it?

Robert Laszewski
Policy
December 6, 2013
Share
Tweet
Share

From 27,000 enrollments in October to a reported 100,000 enrollments in November, the Affordable Care Act’s website is apparently working better and getting more people signed up.

But is it fixed well enough to handle the expected wave of at least many hundreds of thousands of people eager to get guarantee issue health insurance for the first time or replace a canceled policy by January 1?

Here are some of the press reports covering the December 1 Healthcare.gov relaunch.

Reuters: “A surge of visitors clogged the U.S. government’s revamped health care insurance shopping website on Monday, signaling that President Barack Obama’s administration has a way to go in fixing the portal that showcases his signature domestic policy.”

Bloomberg, reporting on a navigator’s experience: “It’s still kind of glitchy. Now it just kicked me out. It went back to the front page. I’ve been here all afternoon and it’s been like that.”

Miami Herald: “Long waits, error messages, unresponsiveness. Hallmarks of the troubled launch of the Health Insurance Marketplace at Healthcare.gov continued to stymie South Florida residents and counselors trying to access the website on Monday — more than two months after the October 1 launch, and despite the government’s self-imposed deadline of Nov. 30 for the system to function smoothly for the ‘vast majority of Americans.

Los Angeles Times: “The Obama administration’s overhauled health care website got off to a bumpy relaunch Monday as a rush of consumers caused an uptick in errors and forced the administration to put thousands of shoppers on the healthcare.gov site on hold.

Ezra Klein, Washington Post: “Of course, that means the site still suffers a disastrous outage rate.” And, “We have no idea whether the 200 fixes left on the list are really important ones, or really difficult ones. The repair job is likely proceeding quickly enough to protect Obamacare from the most severe threat to its launch: Democrat-backed legislation unwinding the individual mandate or other crucial portions of the law.”

And then there is the backroom. The administration apparently decided that it was more important to fix the front-end of the system before the back-end was fixed. Do they think that big customer service issues come January, if the “834″ back-end enrollment problems are not fixed by then, will be blamed on the insurance industry and not the administration?

Associated Press: “Private insurers complain that much of the enrollment information they’ve gotten on individual consumers is practically useless. It is corrupted by errors, duplication or garbles. Efforts to fix the underlying problems are underway, but the industry isn’t happy with the progress and is growing increasingly concerned.”

As I have said before, the Obama administration is likely in the midst of a four month project to properly fix and test this system. It will likely be at least late January or early February before not just Healthcare.gov but the other key information systems supporting the new law are built and repaired to just minimal standards.

Maybe the best news for Healthcare.gov is that you can finally look at actual plans and prices for your age and family in your community without having to open an account and sign-in. Finally, people can easily see for themselves just what kind of plan is available for them and at what pre-subsidy cost. They can also access a chart telling them if they are eligible for a subsidy or reduced cost sharing but not calculate it for themselves.

My definition of a fixed Healthcare.gov is a site that encourages enrollment rather than discourages it. Time will tell — but only about three weeks time before the December 23 enrollment deadline for having coverage on January 1.

ADVERTISEMENT

Maybe, however haltingly, we are finally getting to the main event. The day when people can get a good idea for themselves just what value Obamacare presents for them. The premiums, the deductibles and co-pays, as well as the provider networks. Not just the people who are now uninsured or have had their policy canceled, but also those who don’t need Obamacare today but think they might someday. All of them voters focused on finding out for themselves what this Obamacare thing really is.

Nobody can spin the main event.

Robert Laszewski is president, Health Policy and Strategy Associates and blogs at Health Care Policy and Marketplace Review.

Prev

We really need to give our outpatients palliative care

December 6, 2013 Kevin 3
…
Next

Change will happen when millennial doctors step into leadership roles

December 6, 2013 Kevin 11
…

Tagged as: Obama, Public Health & Policy

Post navigation

< Previous Post
We really need to give our outpatients palliative care
Next Post >
Change will happen when millennial doctors step into leadership roles

ADVERTISEMENT

More by Robert Laszewski

  • Inside the $1.9 trillion coronavirus stimulus bill is a political time bomb for Republicans

    Robert Laszewski
  • What does Kelly Loeffler’s health plan do to coverage for preexisting conditions?

    Robert Laszewski
  • Joe Biden won. What does that mean for health care?

    Robert Laszewski

More in Policy

  • Black women’s health resilience: the hidden cost of “pushing through”

    Latesha K. Harris, PhD, RN
  • FDA loosens AI oversight: What clinicians need to know about the 2026 guidance

    Arthur Lazarus, MD, MBA
  • Why the U.S. health care system is failing patients and physicians

    John C. Hagan III, MD
  • Putting health back into insurance: the case for tobacco cessation

    Edward Anselm, MD
  • Retail health care vs. employer DPC: Preparing for 2026 policy shifts

    Dana Y. Lujan, MBA
  • Ecovillages and organic agriculture: a scenario for global climate restoration

    David K. Cundiff, MD
  • Most Popular

  • Past Week

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • Retail health care vs. employer DPC: Preparing for 2026 policy shifts

      Dana Y. Lujan, MBA | Policy
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Urological analysis of delayed cancer diagnoses in political figures [PODCAST]

      The Podcast by KevinMD | Podcast
    • The economics of prevention: Why an ounce is worth a pound

      Joshua Mirrer, MD | Conditions
    • Methamphetamine-induced lung injury: the hidden diagnosis in South Texas

      Shiv K. Goel, MD | Conditions
    • A 6-step framework for new health care leaders

      All Levels Leadership | Physician
    • The cost of ignoring pharmacist clinical judgment in health care

      Muhammad Abdullah Khan | Conditions
    • 10,000 steps before lunch: How a retired doctor models prevention

      Gerald Kuo | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • Retail health care vs. employer DPC: Preparing for 2026 policy shifts

      Dana Y. Lujan, MBA | Policy
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Urological analysis of delayed cancer diagnoses in political figures [PODCAST]

      The Podcast by KevinMD | Podcast
    • The economics of prevention: Why an ounce is worth a pound

      Joshua Mirrer, MD | Conditions
    • Methamphetamine-induced lung injury: the hidden diagnosis in South Texas

      Shiv K. Goel, MD | Conditions
    • A 6-step framework for new health care leaders

      All Levels Leadership | Physician
    • The cost of ignoring pharmacist clinical judgment in health care

      Muhammad Abdullah Khan | Conditions
    • 10,000 steps before lunch: How a retired doctor models prevention

      Gerald Kuo | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Healthcare.gov is fixed, or is it?
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...