With the federal online insurance exchange running more smoothly than ever, the biggest laggards in fixing enrollment problems are now state-run exchanges in several states where the governors and legislative leaders have been among the strongest supporters of President Obama’s health care law.
Republicans have seized on the failures of homegrown exchanges in states like Maryland, Minnesota and Oregon — all plagued by technological problems that have kept customers unhappy and enrollment goals unmet — and promise to use the issue against Democratic candidates for governor and legislative seats this fall.
“People see incompetence when they look at this,” said Michael Short, a spokesman for the Republican National Committee. “Everyone that’s associated with it is going to have to deal with the consequences of this terrible law, including the state legislators who created these exchanges and the governors in charge of running them.”
Last month, the Republican National Committee filed public-records requests in Hawaii, Maryland, Massachusetts, Minnesota and Oregon seeking information about compensation and vacation time for the exchange directors, four of whom have resigned. All five states have Democratic governors whose terms end this year. Three of them — Gov. Neil Abercrombie of Hawaii, Gov. Mark Dayton of Minnesota and Gov. John Kitzhaber of Oregon — are seeking re-election.Amy Goldstein reports at The Washington Post:
Tens of thousands of people who discovered that HealthCare.gov made mistakes as they were signing up for a health plan are confronting a new roadblock: The government cannot yet fix the errors.
Roughly 22,000 Americans have filed appeals with the government to try to get mistakes corrected, according to internal government data obtained by The Washington Post. They contend that the computer system for the new federal online marketplace charged them too much for health insurance, steered them into the wrong insurance program or denied them coverage entirely.
The Obama administration has not made public the fact that the appeals system for the online marketplace is not working. In recent weeks, legal advocates have been pressing administration officials, pointing out that rules for the online marketplace, created by the 2010 Affordable Care Act, guarantee due-process rights to timely hearings for Americans who think they have been improperly denied insurance or subsidies.
But at the moment, “there is no indication that infrastructure . . . necessary for conducting informal reviews and fair hearings has even been created, let alone become operational,” attorneys at the National Health Law Program said in a late-December letter to leaders of the Centers for Medicare and Medicaid Services (CMS), the agency that oversees HealthCare.gov. The attorneys, who have been trying to exert leverage quietly behind the scenes, did not provide the letter to The Post but confirmed that they had sent it.