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Healthcare.gov

Healthcare.gov. Presented by: Susan Santos June 9, 2014. Topics. Background Functionality Development Costs Launch Issues Solutions and Results. Background. 2010: Patient Protection and Affordable Care Act(PPACA)was passed PPACA, Health Care Reform, Obama Care, ACA

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Healthcare.gov

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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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