Visualizing the Obamacare Snafu

IT experts say the online marketplace failed due to flawed website architecture. Here’s a chart that puts that in perspective.

National Journal
Brian Resnick
Add to Briefcase
See more stories about...
Brian Resnick
Oct. 7, 2013, 7:53 a.m.

This is what an on­line health care ex­change looks like:

Func­tions

The fed­er­al health-ex­change mar­ket­place, ar­chi­tec­tur­ally, is a mess. That, at least, is the con­sensus of IT ex­perts ex­plain­ing to re­port­ers why so few people were able to sign up on­line for health in­sur­ance last week.

  • In the Wall Street Journ­al: “Such a hast­ily con­struc­ted web­site may not have been able to with­stand the on­line de­mand last week.”

  • On Re­u­ters: “Five out­side tech­no­logy ex­perts in­ter­viewed by Re­u­ters, however, say they be­lieve flaws in sys­tem ar­chi­tec­ture, not traffic alone, con­trib­uted to the prob­lems.”

  • On Wonkblog: “Most of the prob­lems like these are in the soft­ware. Hard­ware is the easy part. You can add more hard­ware and do it eas­ily. Soft­ware takes more time.”

Health and Hu­man Ser­vices of­fi­cials ad­mit­ted to The Wall Street Journ­al that the web­site has cod­ing is­sues, and that they “can do bet­ter and we are work­ing around the clock to do so.”

Na­tion­al Journ­al‘s Mar­got Sanger-Katz pre­dicted this out­come. In Ju­ly, she wrote about the lo­gist­ic­al dif­fi­culties of open­ing the ex­changes, es­pe­cially in cre­at­ing an in­form­a­tion hub that ties dis­par­ate streams of data from vari­ous gov­ern­ment agen­cies. The chart at the top of the page tries to sim­pli­fy what that looks like.

“In an ideal world,” she re­por­ted, “the ex­change web­sites need to be able to talk to sev­er­al fed­er­al agen­cies — IRS to veri­fy an ap­plic­ant’s in­come and em­ploy­ment status, the De­part­ment of Home­land Se­cur­ity to de­term­ine her cit­izen­ship, and the state gov­ern­ment to see if she qual­i­fies for Medi­caid, to name a few — all in real time.”

She con­tin­ued: “It is in­creas­ingly clear that the kind of Amazon.com, one-stop shop­ping that was once de­scribed … will not be avail­able in most parts of the coun­try.”

Well, Amazon it is not. But time might fix the on­line mar­ket­place. Speak­ing to The Switch, an IT ex­pert in­volved with its im­ple­ment­a­tion said the first rocky week may not be in­dic­at­ive of lar­ger Obama­care in­fra­struc­ture prob­lems. But if it is, prob­lems could con­tin­ue to trickle down, for in­stance, when people get the bills for their new in­sur­ance plans.

While the design com­plex­it­ies don’t ab­solve the ad­min­is­tra­tion from blame, they do put the ex­change prob­lem in some per­spect­ive. If and when health­care.gov is up and run­ning smoothly, it will be con­sidered an ac­com­plish­ment of in­form­a­tion tech­no­logy in gov­ern­ment, which tends to lag far be­hind the private sec­tor.

What We're Following See More »
SANS PROOF
NRA Chief: Leftist Protesters Are Paid
1 days ago
UPDATE
NEW TRAVEL BAN COMING SOON
Trump Still on Campaign Rhetoric
1 days ago
UPDATE
“WE’RE CHANGING IT”
Trump Rails On Obamacare
1 days ago
UPDATE

After spending a few minutes re-litigating the Democratic primary, Donald Trump turned his focus to Obamacare. “I inherited a mess, believe me. We also inherited a failed healthcare law that threatens our medical system with absolute and total catastrophe” he said. “I’ve been watching and nobody says it, but Obamacare doesn’t work.” He finished, "so we're going to repeal and replace Obamacare."

FAKE NEWS
Trump Goes After The Media
1 days ago
UPDATE

Donald Trump lobbed his first attack at the “dishonest media” about a minute into his speech, saying that the media would not appropriately cover the standing ovation that he received. “We are fighting the fake news,” he said, before doubling down on his previous claim that the press is “the enemy of the people." However, he made a distinction, saying that he doesn't think all media is the enemy, just the "fake news."

FBI TURNED DOWN REQUEST
Report: Trump Asked FBI to Deny Russia Stories
1 days ago
THE LATEST

"The FBI rejected a recent White House request to publicly knock down media reports about communications between Donald Trump's associates and Russians known to US intelligence during the 2016 presidential campaign, multiple US officials briefed on the matter tell CNN. But a White House official said late Thursday that the request was only made after the FBI indicated to the White House it did not believe the reporting to be accurate."

Source:
×
×

Welcome to National Journal!

You are currently accessing National Journal from IP access. Please login to access this feature. If you have any questions, please contact your Dedicated Advisor.

Login