Presented by: Susan Santos June 9, 2014

Topics Background Functionality Development Costs Launch Issues Solutions and Results

Background 2010: Patient Protection and Affordable Care Act(PPACA)was passed PPACA, Health Care Reform, Obama Care, ACA Goals of increasing the quality and affordability of health insurance How would PPACA reach its goals? Lower uninsured rate by expanding public and private insurance coverage Reducing costs of health care for individuals and the government Mandates, subsidies and insurance exchanges

Insurance Exchanges Online marketplace Federal, State and Private exchanges Federal 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

Functionality Acts as an online marketplace where consumers can view, compare and purchase approved health insurance in their states Includes Medicaid and small business options Medicaid 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

Development At 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 Fees Fees imposed on health insurance carriers that sell plans on Exchanges Federal Administrative Funding

The Launch Scheduled 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

Issues Long wait times Site functions were not working Design did not support high volume March 2013: Consulting firm McKinsey & Company assessed that site would fail if issues were not resolved Deadline for enrollment was extended

Solutions and Results QSSI 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. PPACA B. Obama Care C. ACA D. All of the above How much was the site estimated to cost initially? A. $100 million B. $25 million C. $70 million As of April 2014, how many people are enrolled in healthcare.gov? A. More than 20 million B. More than 7 million C. More than 10 million

Work Cited rdable_Care_Act rdable_Care_Act checker/wp/2013/10/24/how-much-did-healthcare-gov- cost/ checker/wp/2013/10/24/how-much-did-healthcare-gov- cost/ floats-to-amazons-cloud-in-revamp/ floats-to-amazons-cloud-in-revamp/ sign-ups-reportedly-on-track-to-hit-7-million-but-will- pay/ sign-ups-reportedly-on-track-to-hit-7-million-but-will- pay/