Some State Insurance Exchanges Suffer Their Own Tech Troubles

Other issues — including plan-cancellation notices — add to the problems states face.

PANORAMA CITY, CA - JANUARY 28: Dr. Jason Greenspan (L) and emergency room nurse Junizar Manansala care for a patient in the ER of Mission Community Hospital where doctors held a press conference outside on a class action lawsuit against the state of California by a coalition of emergency room physicians claiming that without additional funding, the entire emergency healthcare system is on the verge of collapse on January 28, 2009 in Panorama City, California. According to the coalition, the cost of providing emergency room treatment has nearly doubled over the past decade and patient load increased by more than 28 percent while Medi-Cal reimbursements have remained largely unchanged. During that time, 85 California hospitals in California have closed and an additional 55 facilities have shut down their emergency rooms. California now reportedly ranks worst in the nation for access emergency care and last in emergency rooms per capita. California has seven emergency rooms per million people while the national average is 20 emergency rooms per million people. 
National Journal
Clara Ritger
Nov. 12, 2013, 1:51 a.m.

The Health and Hu­man Ser­vices De­part­ment has come un­der fire for the botched rol­lout of Health­, but in some states, the trouble with Obama­care sign-ups is worse.

Ore­gon has yet to make its web­site fully func­tion­al and has been dir­ect­ing po­ten­tial ap­plic­ants to pa­per ap­plic­a­tions and in-per­son as­sisters.

Mary­land an­nounced Fri­day it would delay un­til April the open­ing of the small-busi­ness ex­change.

And Cali­for­nia’s web­site had prob­lems with doc­tor in­form­a­tion and is just now be­gin­ning to send en­roll­ment data to in­surers.

An­them Blue Cross is the second in­surer in Cali­for­nia to an­nounce it will ex­tend the can­celed policies in­to the new year. The com­pany is giv­ing 104,000 con­sumers un­til the end of Feb­ru­ary to choose a new health-in­sur­ance plan that is com­pli­ant with Af­ford­able Care Act cov­er­age reg­u­la­tions.

Both Blue Shield of Cali­for­nia — the first Golden State in­surer to delay can­cel­la­tions — and An­them Blue Cross were re­quired to ex­tend cov­er­age in­to the next year be­cause they did not give poli­cy­hold­ers enough no­tice, ac­cord­ing to the Cali­for­nia In­sur­ance De­part­ment.

Even in Wash­ing­ton state, where en­roll­ment, es­pe­cially in Medi­caid, has been high, ap­prox­im­ately 8,000 con­sumers will re­ceive no­tices in the mail that the price they’re ex­pect­ing to pay for health cov­er­age on the ex­change was quoted in­cor­rectly.

The state’s ex­change site was send­ing monthly in­come, not an­nu­al, to the data hub for veri­fic­a­tion and sub­sidy ap­prov­al.

The cal­cu­la­tion er­ror was iden­ti­fied by mid-Oc­to­ber and will af­fect people who signed up for in­sur­ance dur­ing the first three weeks of the ex­change’s Oct. 1 launch.

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