The Scrapping of Maryland’s State Health Insurance Exchange Marketplace

Journal of the Knowledge Economy - Tập 12 - Trang 1-8 - 2015
David Gardner1
1Arlington, USA

Tóm tắt

Just like healthcare.gov, the Maryland Health Connection (MHC) website crashed within the first few minutes of operation on October 1, 2013 (Davis and Flaherty 2014. Maryland officials were warned for a year of problems with online health-insurance site - The Washington post). Upon receipt of the first million dollar grant in 2010, the MHC’s governing body, the Maryland Health Benefit Exchange (MHBE) Board of Governors, and Maryland’s political leadership immediately began trumpeting their early adoption prowess. All that bravado makes this week’s acknowledgement of failure much harder to swallow. Noridian and EngagePoint, the primary contractors tasked with building the technological support infrastructure behind the failed MHC, have been fired. Deloitte is now formally in charge of bringing their successful state health insurance exchange software from the state of Connecticut and implementing it on behalf of the state of Maryland. The MHC project suffered from five major project management mistakes that directly contributed to the rampant waste and failure. The most detrimental of these mistakes was the MHBE’s outsourcing of a project that they did not understand.

Tài liệu tham khảo

Carayannis, E. G., Kwak, Y., & Anbari, F. T. (Eds.). (2005). The story of managing projects: an interdisciplinary approach. Westport: Praeger. CNBC (2014). Federal probe of maryland's disastrous obamacare marketplace Retrieved 3/31/2014, from http://www.cnbc.com/id/101481072. Cox, E. (2014). Maryland health exchange director resigns after questions about vacation - Baltimore sun. Retrieved 4/2/2014, from http://articles.baltimoresun.com/2013-12-07/health/bs-md-rebecca-pearce-20131206_1_pearce-own-exchanges-carolyn-quattrocki. Davis, A., & Flaherty, M. P. (2014). Maryland officials were warned for a year of problems with online health-insurance site - The Washington post. Retrieved 3/29/2014, from http://www.washingtonpost.com/local/maryland-news/maryland-officials-were-warned-for-a-year-of-problems-with-online-health-insurance-site/2014/01/11/f094ad94-6a98-11e3-8b5b-a77187b716a3_story.html. Deschenaux, W. (2012). Letter to the maryland legislature: Warren deschenaux, director office of policy analysis, maryland department of legislative services. (November, 1, 2012 ed.) Flaherty, M. P., & Johnson, J. (2014). Maryland fires contractor that built troubled health insurance exchange - The Washington post. Retrieved 4/2/2014, from http://www.washingtonpost.com/local/md-politics/maryland-to-fire-its-health-care-exchange-contractor/2014/02/24/50df0490-9ce6-11e3-ad71-e03637a299c0_story.html. Fox News (2014). Maryland to reportedly abandon $125M ObamaCare exchange for new system | fox news Retrieved 4/4/2014, from http://www.foxnews.com/politics/2014/03/29/maryland-to-reportedly-abandon-125m-obamacare-exchange-for-new-system/. Hicks, J. (2015). Noridian to pay $45 million to state, U.S. Government for flawed exchange – The Washington post. Retrieved 7/22/15, from http://www.washingtonpost.com/local/md-politics/noridian-to-pay-45m-to-state-us-government-for-flawed-md-exchange/2015/07/21/cb9b7028-2fd5-11e5-8353-1215475949f4_story.html?hpid=z4. Johnson, J., & Wagner, J. (2014). Board of md. health-insurance exchange votes to hire deloitte to overhaul it - The Washington post. Retrieved 4/2/2014, from http://www.washingtonpost.com/local/md-politics/board-of-md-health-insurance-exchange-votes-to-hire-deloitte-to-overhaul-it/2014/04/01/66a3ab54-b9b6-11e3-899e-bb708e3539dd_story.html?tid=hpModule_79c38dfc-8691-11e2-9d71-f0feafdd1394&hpid=z16. Kaiser (2014). State marketplace profiles: Maryland | the henry J. kaiser family foundation Retrieved 3/29/2014, from http://kff.org/health-reform/state-profile/state-exchange-profiles-maryland/. Maryland District Court (2013). EngagePoint, LLC Vs. Noridian Health Solutions, LLC, (October 29, 2013). Maryland health benefit exchange. (2014). About us. Retrieved 4/1/2014, from http://dhmh.maryland.gov/exchange/SitePages/aboutus.aspx. NBC (2014). O'malley: Maryland will meet health care goal | NBC4 washington Retrieved 8/3/2015, from http://www.nbcwashington.com/news/local/OMalley-Maryland-Will-Meet-Health-Care-Goal-239826871.html. Ornstein, C. (2014). Epic fail: Where four state health exchanges went wrong - ProPublica. Retrieved 3/29/2014, from http://www.propublica.org/article/epic-fail-where-four-state-health-exchanges-went-wrong. Professor of Economics, George Washington University. (2014). Personal interview (the professor of more than ten years at GWU did not want to be cited). Unpublished manuscript. ProQuest (2014). Maryland health exchange failures parallel those of federal exchanges for all the wrong reasons(2014). Lanham, United States, Lanham: Federal Information & News Dispatch, Inc. Retrieved from http://search.proquest.com.proxygw.wrlc.org/docview/1477540891?accountid=11243. Thibodeau, P. Healthcare.gov website ‘didn’t have a chance in hell’. Retrieved 10/21/2013 from http://www.computerworld.com/s/article/9243396/Healthcare.gov_website_didn_t_have_a_chance_in_hell_.