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HealthCare.gov: Difference between revisions
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President [[Barack Obama]] signed the [[Affordable Care Act]] (ACA) into law on March 23, 2010, in the [[East Room]] before a select audience of nearly 300 people. He stated that the [[Health care reform in the United States|health reform effort]], designed after a long and acrimonious debate facing fierce opposition in the Congress to expand [[Health insurance coverage in the United States|health insurance coverage]], was based on "the core principle that everybody should have some basic security when it comes to their health care".<ref name=signed>{{cite news|url=https://www.nytimes.com/2010/03/24/health/policy/24health.html?_r=0|title=Obama Signs Health Care Overhaul Into Law|date=March 24, 2010|access-date=October 27, 2013|newspaper=The New York Times|author1=Robert Pear|author2=Sheryl Gay Stolberg}}</ref> The primary purpose of the ACA was to increase coverage to the American people either through public or private insurance and control healthcare costs. The Congressional Budget Office (CBO) estimated that the ACA would reduce the number of uninsured by 32 million, increasing coverage for the non-elderly citizens from 83 to 94 percent. Insurers were not allowed to deny insurance to applicants with pre-existing conditions.<ref>{{Cite journal|title = The Obamacare Website|last = Evans|first = Brad|date = March 18, 2014|journal = Ivey Publishing}}</ref> The [[Sunlight Foundation]] has stated that at least forty-seven private company contractors have been involved with the ACA in some capacity as of fall 2013, with the measure causing a wide variety of policy changes.<ref name="bw-opensource"/> Journalists writing for ''[[The New York Times]]'' have called the ACA "the most expansive social legislation enacted in decades".<ref name=signed/> | President [[Barack Obama]] signed the [[Affordable Care Act]] (ACA) into law on March 23, 2010, in the [[East Room]] before a select audience of nearly 300 people. He stated that the [[Health care reform in the United States|health reform effort]], designed after a long and acrimonious debate facing fierce opposition in the Congress to expand [[Health insurance coverage in the United States|health insurance coverage]], was based on "the core principle that everybody should have some basic security when it comes to their health care".<ref name=signed>{{cite news|url=https://www.nytimes.com/2010/03/24/health/policy/24health.html?_r=0|title=Obama Signs Health Care Overhaul Into Law|date=March 24, 2010|access-date=October 27, 2013|newspaper=The New York Times|author1=Robert Pear|author2=Sheryl Gay Stolberg}}</ref> The primary purpose of the ACA was to increase coverage to the American people either through public or private insurance and control healthcare costs. The Congressional Budget Office (CBO) estimated that the ACA would reduce the number of uninsured by 32 million, increasing coverage for the non-elderly citizens from 83 to 94 percent. Insurers were not allowed to deny insurance to applicants with pre-existing conditions.<ref>{{Cite journal|title = The Obamacare Website|last = Evans|first = Brad|date = March 18, 2014|journal = Ivey Publishing}}</ref> The [[Sunlight Foundation]] has stated that at least forty-seven private company contractors have been involved with the ACA in some capacity as of fall 2013, with the measure causing a wide variety of policy changes.<ref name="bw-opensource"/> Journalists writing for ''[[The New York Times]]'' have called the ACA "the most expansive social legislation enacted in decades".<ref name=signed/> | ||
A report by | A report by Reuters described HealthCare.gov itself as the "key" to the reform measure.<ref name='reuters'/> Development of the website's interface as well as its supporting [[Front and back ends|back-end]] services, to make sure that the website could work to help people compare between [[health insurance]] plans, were both [[outsourcing|outsourced]] to private companies. The [[Front and back ends|front-end]] of the website was developed by the [[startup company|startup]] [[Development Seed]].<ref name="bw-opensource"/> The back-end work was contracted out to CGI Federal Inc., a subsidiary of the Canadian IT Multinational corporation [[CGI Group]], which subcontracted the work to other companies, as is common on large government contracts.<ref name='verge'/> CGI was also responsible for building some of the state-level healthcare exchanges, with varying levels of success (some did not open on schedule).<ref name='reuters'/> | ||
[[File:Kathleen Sebelius.jpg|thumb|280px|Kathleen Sebelius and [[Todd Park]], chief technology officer of the Department of Health]] | [[File:Kathleen Sebelius.jpg|thumb|280px|Kathleen Sebelius and [[Todd Park]], chief technology officer of the Department of Health]] | ||
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== Statistics == | == Statistics == | ||
Analysis by the | Analysis by the Reuters news agency in mid-October stated that the total contract-based cost of building HealthCare.gov swelled threefold from its initial estimate of $93.7 million to about $292 million.<ref name='reuters'/> In August 2014, the [[Office of Inspector General]] released a report finding that the cost of the HealthCare.gov website had reached $1.7 billion.<ref name=oig>{{cite web|url=http://oig.hhs.gov/oei/reports/oei-03-14-00231.asp|title=An Overview of 60 Contracts That Contributed to the Development and Operation of the Federal Marketplace|date=26 August 2014|access-date=1 November 2014}}</ref> As pointed out later by commentators such as [[Mark Steyn]], the CGI company had already been embroiled in a mid-2000s controversy before over contract payments. While devising the [[Canadian Firearms Registry]], estimated costs of $2 million ballooned to about $2 billion.<ref name=steyn/> | ||
On March 25, 2019, the [[Centers for Medicare and Medicaid Services]] reported that 11.4 million Americans had selected enrolled in or automatically renewed their Exchange coverage during the 2019 Open Enrollment Period.<ref>{{Cite web|url=https://www.cms.gov/newsroom/press-releases/cms-issues-2019-exchange-open-enrollment-period-final-report|title=CMS Issues the 2019 Exchange Open Enrollment Period Final Report {{!}} CMS|website=www.cms.gov|access-date=2019-04-19}}</ref> | On March 25, 2019, the [[Centers for Medicare and Medicaid Services]] reported that 11.4 million Americans had selected enrolled in or automatically renewed their Exchange coverage during the 2019 Open Enrollment Period.<ref>{{Cite web|url=https://www.cms.gov/newsroom/press-releases/cms-issues-2019-exchange-open-enrollment-period-final-report|title=CMS Issues the 2019 Exchange Open Enrollment Period Final Report {{!}} CMS|website=www.cms.gov|access-date=2019-04-19}}</ref> | ||