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TECHNOLOGY UPDATE BRUCE GOLDBERG, M.D., ACTING EXECUTIVE DIRECTOR

TECHNOLOGY UPDATE BRUCE GOLDBERG, M.D., ACTING EXECUTIVE DIRECTOR ALEX PETTIT, PhD, ACTING CHIEF INFORMATION OFFICER April 10, 2014. Technology group work to date Options before us Timelines and next steps. Report Contents. SLIDE 2. Began work March 11

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TECHNOLOGY UPDATE BRUCE GOLDBERG, M.D., ACTING EXECUTIVE DIRECTOR

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  1. TECHNOLOGY UPDATE BRUCE GOLDBERG, M.D., ACTING EXECUTIVE DIRECTOR ALEX PETTIT, PhD, ACTING CHIEF INFORMATION OFFICER April 10, 2014

  2. Technology group work to date • Options before us • Timelines and next steps • Report Contents SLIDE 2

  3. Began work March 11 Review available options to deliver a fully functioning website for individuals – enrollment, renewal and change of circumstance Options need to consider budgetary constraints, risk and timing Make recommendation to the Cover Oregon Board in time for execution • technology options group SLIDE 3

  4. Technology Options – Participants • Greg Van Pelt, Consultant • Liz Baxter, Board • Teri Andrews, Board • George Brown, M.D., Board • Robin Richardson, Moda • Erick Doolen, PacificSource • John Kenagy, Legacy • Bruce Wilkinson, Providence • Chris Blanton, BridgeSpan • Aaron Patnode, Kaiser • Alex Pettit, CIO, State of Oregon • Tina Edlund, OHA • Bruce Goldberg, M.D., Cover Oregon • Aaron Karjala, Cover Oregon • TrizdelaRosa, Cover Oregon SLIDE 4

  5. Group has had a series of meetings, conversations and information sharing sessions Technical workshops, architectural workshops Started with 10 options – each assessed on ability to provide core functional capabilities and be fully tested and operational by Nov. 15. • Work to date SLIDE 5

  6. Solution Alternatives Stay the Course Keep the Technology Keep the Vendor Keep the Technology Select a New Vendor 10 1 2 3 4 9 7 6 8 5 New Direction New Product Solution New Service Solution Federal Technology Direct to Carrier Transfer SBM Exeter SaaS SHOP Individual & Shop Hybrid Partnership Enrollment Exchange Lite

  7. Narrowed to three: • Stay with current technology – use new vendor • Federal exchange technology • Transfer functioning technology from another state, in whole or in part SLIDE 7

  8. ELIMINATED DUE TO RISK AND TIMELINES Transfer functioning technology from another state, in whole or in part SLIDE 8

  9. options that need further review for cost, risk and timelines • Stay with current technology – use new vendor & bring on system integrator • Federal exchange technology SLIDE 9

  10. Issues to consider Cost – Must be delivered within available resources Risk – Must have highest level of certainty for seamless individual application, eligibility, enrollment, renewals and change of circumstance Time – Thoroughly tested and operationalized prior to Nov. 15 SLIDE 10

  11. Analysis to date: Option 1 PROS: New vendor to develop current technology • Maintain no wrong door vision • Infrastructure & technology is in place and enrollments are occurring • Global agent certification • Community partner programs to boost enrollments • Planned interfaces with 16 carriers SLIDE 11

  12. Analysis to date: Option 1 CONS: New vendor to develop current technology • Very tight timelines. More analysis to come • Will require reworking of code and architecture. More analysis to come. • Need to bring on more expertise and capacity to develop and manage • Still need to develop re-enrollment, change of circumstances and SHOP • Carrier and Medicaid interfaces are not complete • Federal requirements continuing to evolve SLIDE 12

  13. Analysis to date: Option 2 PROS: Federal technology • Meets timeline • Requires no further development from Cover Oregon • Is functioning for individuals • Provides for QHP eligibility, plan shopping and enrollment • 11 of 16 Oregon carriers already interfaced • Oregon can maintain control over plans offered • Medicaid can be moved to OHA SLIDE 13

  14. Analysis to date: Option 2 CONS: Federal technology • Migration of enrollments • Loss of full integration of Medicaid and QHP • Limited technological options for carriers • Limits ability to customize for Oregon’s needs • Administrative fee set by feds • Agents would be certified by each plan SLIDE 14

  15. Next steps Reconvene technical group to review final analysis of cost, risk, timelines and operations for Options 1 and 2 Final recommendation to the Board Final Board approval by no later than end of April SLIDE 15

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