Anyone involved with the health care industry, or even mildly interested in it, knows what occurred in October: The launch, and arguable failure, of healthcare.gov. Though the federal exchange website has been on the front of everyone’s mind, the states saw a range of implementations with individual health insurance exchanges (HIXs). Some launched with success, others with small glitches, and others are still struggling to get a system up and running for citizens. Deltek blogged about the luck CGI had in state HIXs in late October. While the federal government states that the healthcare.gov website should be fixed by the end of November, it will take time to see if the technological failures of the exchange launch will overshadow possible success in the reduction of millions of people in the United States living without health insurance.
On the procurement side, October saw more than 700 solicitations released across the United States. The word cloud below represents the frequency of terms in those solicitations.
As one can see from the below map, New York, California, and Texas (respectively) saw the largest number of health and human services-related solicitations, while Wyoming had no related activity in October.
· The North Dakota Department of Human Services released a request for proposals (RFP) for a Medicaid call center on October 23, 2013. This will help cover the 20,000 individuals that will now be eligibile for the Medicaid program.
· The Nebraska Department of Health and Human Services released an RFP for the transfer of the Mountain Plains State Consortium (MPSC) Women, Infants, and Children (WIC) management information system (MIS). Proposals are due in December.
· The Alabama Medicaid Agency was busy in October, releasing RFPs for both an advanced fraud detection and case management system, and its fiscal agent service RFP for its Medicaid enterprise solution.
While the Obamacare launch will surely continue to dominate headlines until the website is fixed, the actual success of reducing the number of uninsured Americans lies in both state and federal exchange data. Many states have reported large traffic volume on exchange websites, with several user accounts created and insurance plans purchased. Time will also be needed to tell if more insured Americans will lead to decreased health care costs. Look for an upcoming report by Deltek on all-payer claims databases (APCDs) and an update to our health insurance exchange (HIX) report.
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