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Health Care Edge

Inside The Worst Obamacare Exchange- Health Care Edge: Brought to you by Wellpoint

March 21, 2014

Inside The Worst Obamacare Exchange

By Sam Baker, Sophie Novack and Clara Ritger

HOW NOT TO BUILD AN EXCHANGE: How did Oregon -- a leader in health care policy -- end up with such a terrible Obamacare exchange? The flaws were pretty similar to those that plagued HealthCare.gov, according to an independent audit released by Gov. John Kitzhaber. The report says "there was no single point of authority on the project," and that "the decision to not use an overall system integrator … created a lack of accountability." The state's lead contractor, Oracle, reportedly missed key deadlines. All of those echo criticisms of HealthCare.gov, but the federal government has had a far easier time getting its exchange on track. Oregon is now considering scrapping its exchange altogether and using HealthCare.gov. Read the full report on the state's experiences here.

 

Top Health Care News

NEVADA EXCHANGE APPROVES SPECIAL ENROLLMENT EXTENSION: Anyone who tried to enroll in coverage through Nevada's problematic exchange will have another 60 days to complete the process after regular open enrollment ends March 31. (Associated Press)

HEALTH AGENCY CHIEF RESIGNS AFTER CLASH WITH MARINES OVER CAMP LEJEUNE PROBLEMS: Tanja Popovic served for only seven weeks as the acting director of the Agency for Toxic Substances and Disease Registry before her quiet resignation. (Mike Magner, National Journal)

Health Law Anniversary

PELOSI DEFENDS ACA AHEAD OF LAW'S FOURTH ANNIVERSARY: The House Minority Leader said the health law is a "winner" for Democrats, and emphasized that it is called the Affordable Care Act--not Obamacare. (Paige Winfield Cunningham, Politico)

OBAMACARE TURNS 4: WILL ANYONE NOTICE? The public has almost never been more bored with health care news. (Jason Millman, Washington Post)

Enrollment

HAPPY HOUR CHECKLIST: BEER, MARCH MADNESS, AND OBAMACARE: "The District's health exchange, D.C. Health Link, is employing some of young people's favorite spring pastimes to encourage them to enroll in health insurance ahead of the March 31 deadline: March Madness and post-work drinking." (Sophie Novack, National Journal)

Research

STUDY: EXERCISE CUTS BREAST CANCER RISK: "Exercise reduces women's risk of breast cancer, no matter what kind of exercise they do, how old they are, how much they weigh, or when they get started...Women who were most active, with more than an hour a day of vigorous activity, got the most benefits, lowering their cancer risk by 12 percent. But women weren't as active saw reduced risk, too." (Nancy Shute, National Public Radio)

EPIGENETICS: THE CONTROVERSIAL SCIENCE BEHIND RACIAL AND ETHNIC HEALTH DISPARITIES: Why what we eat, are exposed to and experience today may shape the health of our descendants tomorrow. (Janell Ross, National Journal)

CDC: HIGHER CANCER RISK FOR KIDS LIVING NEAR BUSY ROADS: A review of seven studies of over 8,000 children suggests a link between childhood leukemia and exposure to high levels of auto exhaust. (Larry Copeland, USA Today)

HARD CHOICES IN PURSUIT OF RARE-DISEASE CURES: Patients urge more data gathering as tighter federal budget crimps research. (Amy Dockser Marcus, Wall Street Journal)

Health IT

WHY THE MEDICAL SYSTEM CAN'T MOVE INTO THE DIGITAL AGE: "If the medical market functioned like the car industry or the computer industry or the service industry, with true competition based on quality and price, providers would have adopted electronic records long ago," says David Blumenthal, former national coordinator for health information technology, and current president of the Commonwealth Fund. (James Fallows, The Atlantic)

Happening Today

FEDERAL TRADE COMMISSION CONFERENCE ON HEALTH CARE COMPETITION: The FTC will hold a public workshop, titled "Examining Health Care Competition," on March 20 and 21, in the FTC Conference Center.

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