With all the focus on the federal health care exchange, some of the problems in state exchanges have gotten less attention. But they may offer a glimpse of future problems in the federal system.
Vicki Rapoport is the face of the breakdown in state exchanges — in her case, Maryland.
“To me it’s very personal,” she says, “and it’s very frustrating because the system has failed me.”
Rapoport, who is self- employed, starting trying to sign up in early October. She eventually went to an official navigator for Howard county, called Healthy Howard, which signed her up, gave her a confirmation number and a printout of the plan she chose.
But then she hit a brick wall.
“I was told by the insurance company I selected that they have no record of me. I did go to the state navigation system and they have no record of me,” she said.
That is the same problem the federal government experienced with the so-called back end of the system, which tells state officials and insurance companies who has enrolled.
Doug Holtz-Eakin, former head of the Congressional Budget Office, is blunt. “The back end’s not working,” he says. “There’s no way to effectively match policies and people.”
Heartwarming, isn’t it?