Healthcare contractors point finger at Obama administration

 
Cheryl Campbell, Senior Vice President of CGI Federal; Andrew Slavitt, Executive Vice President for Optum/QSSI; Lynn Spellecy, corporate counsel for Equifax Workforce Solutions and John Lau, program director for Serco are pictured at a House Energy and Commerce Committee hearing on the Patient Protection and Affordable Care Act in Washington, DC on 24 October 2013 One contractor said many of the bottlenecks could be attributed to a late decision on the structure of the site

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Contractors who worked on the much-maligned US healthcare website have told lawmakers the Obama administration must share the blame for its glitches.

One senior executive told a congressional panel that the federal government was "the ultimate responsible party".

The panel also heard that two contractors wanted more testing before the 1 October launch of the website.

The Obama administration is in damage-control mode over the troubled rollout.

At a health centre in Arizona on Thursday, Health and Human Services Secretary Kathleen Sebelius said technicians and administration officials were working "24-7" to fix glitches in the website and its technical underpinnings.

And she dismissed Republicans' calls for her to step down over the problematic healthcare rollout, saying those critics "do not want this programme to work in this first place".

Amid the fallout, the White House late on Wednesday announced it would push back by six weeks the healthcare law's requirement for individuals to buy insurance or face a tax penalty.

No 'clean hands'

Thursday's testimony before the House energy and commerce committee began with Republican legislators arguing that the healthcare.gov website flaws were part of wider problems in the 2010 Affordable Care Act, which is commonly known as Obamacare.

"The American people deserve something that works, or start over," Representative Tim Murphy said, suggesting that the law be suspended until the problems are fixed.

Start Quote

Amazon and eBay don't crash the week before Christmas”

End Quote Anna Eshoo Democractic congresswoman

The website is one part of the larger law, which includes increased requirements for insurance firms, a requirement that individuals carry insurance or pay a tax penalty, and subsidies for those who qualify to assist in the cost of the insurance.

The non-partisan Congressional Budget Office previously said about seven million people would gain coverage through the federal website and others run by some states during the first year of operation.

Democrats have lamented the technical issues but have defended the law, while criticising Republican attempts to undermine it.

"Republicans don't have clean hands coming here," Democratic Representative Frank Pallone said.

The website's glitches were politically overshadowed by a 16-day government shutdown, which began after Republicans tried to gut the law through budgetary brinkmanship in Congress.

On Thursday, Cheryl Campbell, a senior vice-president of the Canadian-firm CGI, which created the front-end portion of the website, said that overwhelming interest from consumers had triggered the website problems.

"No amount of testing within reasonable time limits can adequately replicate a live environment of this nature" Ms Campbell said.

But she also blamed administration officials, saying the health department should have served as the "quarterback" on the project and was the "ultimate responsible party for the end-to-end performance".

Andy Slavitt of QSSI, which created several elements of the online healthcare exchange, said a late decision to require consumers to create accounts before they could browse insurance plans contributed to the slow, malfunctioning website.

"This may have driven higher simultaneous usage of the registration system that wouldn't have occurred if consumers could window-shop anonymously," Mr Slavitt said.

Republican Representative Joe Pitts questioned this decision, pointing out that "window-shopping" was widely used in e-commerce, including in another government healthcare website for the elderly.

"Who made that decision? When was it made? Why was it made?" Mr Pitts asked during the hearing.

Republican Representative Fred Upton said the Obama administration "appears allergic to transparency and continues to withhold enrolment figures" for the healthcare website.

"We still don't know the real picture," he said. "This is not about blame - this is about accountability, transparency, and fairness for the American public."

And some Democrats on the panel said they were frustrated with both the government's and contractors' handling of the situation.

Representative Anna Eshoo, a Democrat who represents the Silicon Valley area, said it was a "lame excuse" to blame the website's problems on a crush of visitors.

"Amazon and eBay don't crash the week before Christmas," Ms Eshoo said. "ProFlowers doesn't crash on Valentine's Day."

And Democratic Congresswoman Diana DeGette said: "These problems need to be fixed, and they need to be fixed fast."

Ms Sebelius and other government officials are set to testify in front of legislators in a hearing next week.

She was ridiculed earlier this month during an appearance on The Daily Show when the host Jon Stewart pulled out a laptop and said: "I'm going try and download every movie ever made, and you're going to try and sign up for Obamacare and we'll see which happens first."

In response to the outcry over the technical issues, the administration will begin daily status briefings on the system, starting on Thursday.

On Wednesday, US health officials admitted the online system did not get enough testing before going live on 1 October, especially at higher volumes.

The health law also allowed individual states to set up their own online insurance exchanges.

Fourteen states and the District of Columbia went with this option - those websites have not reported so many problems.

A woman looks at the HealthCare.gov insurance exchange internet site showing a "Please wait" page, in this 1 October 2013 file photo in Washington, DC
 

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  • rate this
    +1

    Comment number 103.

    Are you watching Britain?

    When the American Healthcare Insurance giants dissect the NHS, this is how those who cannot afford a policy will obtain medical assistance in the UK too...

  • rate this
    0

    Comment number 102.

    We should be grateful the problems have become visible so early!
    If even enrollment is so disastrous in the Govt run system- with the lack of accountability and transparency becoming clear early on- just imagine how catastrophically the actual system will perform.

    The business of Govt is not business.

  • rate this
    -1

    Comment number 101.

    100. Chris A

    Obama is no LBJ, who would have taken on Lieberman and Baucus. Obama was a mouthpiece (an excellent one) but did none of the heavy legislative lifting. He couldn't get any republicans on board. Big mistake. We've all been paying ever since.

    Once he lost his majority he was stopped dead. Runs everything like a campaign, including the exchange rollout.

  • rate this
    -1

    Comment number 100.

    98. Ability? Obama the first since Lyndon Johnston to even get close to 'healthcare for all' - Your rail on Obama sounds like Lucy. Joe Lieberman and Max Baucus killed Obama's public option as shills of their insurance company sponsors!

    Anyway, Bush Jr's misinformation mantra of 'keep saying it until it is so' rings throughout these threads. My condolences to the hapless US public.

  • rate this
    +1

    Comment number 99.

    97. KingRichard

    CGI has a very foolish client. No one CMS person in charge, constant changes. Last 75 pages of regs released at end of August. Anyone who rolls out a system like this -- large and critical -- with only 2 weeks' testing is insane.

    Sebelius is really chief saleswoman, out on the road trying to enroll young people. Don't see Obama ending that.

 

Comments 5 of 103

 

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