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View Diary: Technical problems extend to state health insurance exchanges (68 comments)

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  •  I don't believe... (1+ / 0-)
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    VClib

    that there was no test data sent back and forth.  It might be that since the HIPAA data transaction was supposed to be a standard transaction a sample test was done instead of checking out all insurance companies.

    With a standard data transaction on the sending and receiving end, the major hassles would be propagating those transactions to insurers' legacy systems.

    So you come up to September 25 and ten insurers say "We're not ready."   What do you do?  Delay the roll-out until those get their act together?

    Who would launch under those circumstances?  I've seen a lot of crazy stuff go on in order to meet dates in private systems.  Rampant violations of what were considered best practices.

    As for a staged rollout, I would have worked in reverse.  I would have rolled out the largest states (except maybe Texas), all the state exchanges that were tested, and picked up the smallest states later.  The largest states were likely to have BCBS insurers and other large companies that had large enough IT shops to get ready.  Smaller states likely had one insurer plus a BCBS if they were lucky.  Those insurers might not have the IT shop to get ready quite as fast.  That is why I would be interested in knowing which states and companies were having difficulties.  And quite frankly, the hand keying story sounds like a PR stunt.

    I can tell what I think would be the most problematic state -- North Carolina.  Tenth largest in population; dropped the load on the federal exchange in August 2013.  Has BCBS plus a number of national and state insurers.  And no Medicare expansion, also dumped at the last minute.

    50 states, 210 media market, 435 Congressional Districts, 3080 counties, 192,480 precincts

    by TarheelDem on Thu Jan 09, 2014 at 07:30:59 PM PST

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    •  The rekeying is no PR stunt (0+ / 0-)

      The digital data handover was a shambles. It is only going to get worse as the volume of applications increases toward the March deadline, even though some companies may get their act together in the meantime.

      Also, that's Medicaid expansion in NC.

      Ceterem censeo, gerrymandra delenda est

      by Mokurai on Thu Jan 09, 2014 at 07:51:14 PM PST

      [ Parent ]

      •  Yep Medicaid expansion in NC (0+ / 0-)

        ...another sabotage job by the GOP.

        Apparently insurers and providers are holding people for observation and billing for that time in a way that creates an out-of-pocket cost for patients.  Another rotten game.

        50 states, 210 media market, 435 Congressional Districts, 3080 counties, 192,480 precincts

        by TarheelDem on Fri Jan 10, 2014 at 02:59:36 PM PST

        [ Parent ]

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