Healthcare.govPresented by:Susan SantosJune 9, 2014

TopicsBackgroundFunctionalityDevelopmentCostsLaunchIssuesSolutions and Results

Background2010: Patient Protection and Affordable Care

Act(PPACA)was passed PPACA, Health Care Reform, Obama Care, ACAGoals of increasing the quality and affordability of health

insurance

How would PPACA reach its goals?Lower uninsured rate by expanding public and private

insurance coverageReducing costs of health care for individuals and the

governmentMandates, subsidies and insurance exchanges

Insurance ExchangesOnline marketplaceFederal, State and Private exchangesFederal Exchange called Healthcare.gov

Designed to serve 36 U.S. states that did not run and maintain their own exchange

Website design overseen by Centers for Medicare and Medicaid Services

Built by various federal contractors

FunctionalityActs as an online marketplace where

consumers can view, compare and purchase approved health insurance in their states

Includes Medicaid and small business optionsMedicaid is a social health care program for low-income

families and individuals

Consumers sign-in, complete an application, and are able to view available plans as well as if they are eligible for a subsidy

DevelopmentAt least 47 contractors have been said to be

somewhat involved (not disclosed)

Front-end: Development Seed

Back-end: CGI Federal Inc. and Accenture

Digital Identity Authentication: Experian

Data Hub: Quality Software Services, Inc.

Estimated Costs Initial estimate: $70 million

October 2013: $292 million

December 2013: $319 million but could reach $677 million if all obligations are made

Funding

Insurer FeesFees imposed on health insurance carriers that

sell plans on Exchanges

Federal Administrative Funding

The LaunchScheduled for October 1, 2013

Appeared to be up and running

Only 1% of interested consumers were able to enroll during the first week

Over 8 million people visited the site the first week

IssuesLong wait timesSite functions were not workingDesign did not support high volumeMarch 2013: Consulting firm McKinsey &

Company assessed that site would fail if issues were not resolvedDeadline for enrollment was extended

Solutions and ResultsQSSI was put in charge of coordinating the resolution to

the website problems

Jeffrey Zients was appointed by administration to act as the adviser

CGI Group was replaced by Accenture

Amazon Cloud

As of April 2014, more than 7 million people enrolled

Quiz:What was the name of the law that was passed that triggered the

creation of healthcare.gov?A. PPACAB. Obama CareC. ACAD. All of the above

How much was the site estimated to cost initially?A. $100 millionB. $25 millionC. $70 million

As of April 2014, how many people are enrolled in healthcare.gov?A. More than 20 millionB. More than 7 millionC. More than 10 million

Work Citedhttp://en.wikipedia.org/wiki/Patient_Protectio

n_and_Affordable_Care_Acthttp://www.washingtonpost.com/blogs/fact-ch

ecker/wp/2013/10/24/how-much-did-healthcare-gov-cost/

http://en.wikipedia.org/wiki/HealthCare.govhttp://blogs.wsj.com/cio/2014/06/06/healthcar

e-gov-floats-to-amazons-cloud-in-revamp/http://www.foxnews.com/politics/2014/04/01/

obamacare-sign-ups-reportedly-on-track-to-hit-7-million-but-will-pay/

http://www.fas.org/sgp/crs/misc/R43066.pdf