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View Diary: Did HealthCare.gov Just Get A Lot Better? (95 comments)

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  •  the nightmare is (1+ / 0-)
    Recommended by:
    catullus

    no turning back, but no way forward if the site isn't functional soon.

    If we get to 11/30 and it isn't working, what is the backup plan? How do we avoid millions of people losing their healthcare on Jan 1, 2013

    •  From what I can gather, (3+ / 0-)
      Recommended by:
      pollwatcher, PsychoSavannah, catullus

      the backup plan is actually in effect now, in tandem with the website: Phone bank and human navigators to connect people to the system without involving the web.
      But I doubt that the website's failure will continue to be a problem as this diary points out, there is now a schedule of repair "outages" that will, piece by piece, repair the glitches and get this thing running right.

      If I ran this circus, things would be DIFFERENT!

      by CwV on Tue Nov 05, 2013 at 08:19:49 AM PST

      [ Parent ]

      •  that backup (3+ / 0-)
        Recommended by:
        annecros, pollwatcher, catullus

        still requires the website to process the data. Those human helpers do not have some alternate way to get people signed up. A functioning website is the only way to process the millions of people that need to enroll.

        Imagine trying to compare the features of 17 different plan options over the phone. Operator reads them out, you writing them down so you can see them side by side. So that isn't a viable backup plan.

        3 years to build a site that doesn't work. I will be amazed if all the problems can be corrected in 8 weeks.

        •  Exactly right (2+ / 0-)
          Recommended by:
          annecros, catullus

          I just got off the phone with the healthcare.gov 800 number person who was trying to help me figure out why the system was not saving my application information. She was trying to log on to healthcare.gov to view my application - the same healthcare.gov site you and I are using. P.S. She couldn't access the site and we parted ways after 10 minutes of enduring the "Please Wait" message she said she was seeing.

        •  of course it does (1+ / 0-)
          Recommended by:
          rsmpdx

          but not everybody has  the same problems so while you may have a problem in one area the people on the phone may not have that problem.  You don't know unless you call.

          If you want to see some basic plan options you don't have to login.  It won't give all the details but it gives enough to whittle down the numbers.  

          And as pointed out by others, you can get the details of the plans you're interested in by going to the insurers website.  Yeah, it takes time but so does open enrollment at workplaces take time.

        •  Certainly legitimate concerns, (3+ / 0-)
          Recommended by:
          ybruti, mkor7, Yoshimi

          but to be fair, that 3 years is a bit of a stretch. Many of the states that refused only did so in the past year, so the window has been drastically shorter and the task, orders of magnitude larger than originally planned (or funded). The Federal Exchange website shouldn't even have to exist. Each state should have made their own.
          The obstruction of ACA has made the design spec for the site grow exponentially and keep shifting. Prices and policies that were on offer last year are no longer there, the insurance companies can keep changing the details and that throws a monkey wrench into the system development.
          This is one more reason that I believe that the way to do this would have been to expand MedicAid incrementally, from 144% of Poverty Line to 200% then to 500% then to 1000% then universal, maybe with a partial buy-in above 500%.
          That way the proven architecture of the program can be built on, the institutional wisdom can be deployed and a successful program can become that much more of a success.
          I know the hue and cry has been for MediCARE for all. That could be ramped up by lowering the eligibility age incrementally too, but if affordability is the goal, we're talking about who can afford what and MedicAid is about supplying healthcare that's affordable, even to those who have no income, regardless of their age.
          We could have avoided a lot of mess had we gone that route.

          If I ran this circus, things would be DIFFERENT!

          by CwV on Tue Nov 05, 2013 at 08:52:32 AM PST

          [ Parent ]

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