The Biden administration is expected to sign an executive order on Thursday that will reopen enrollment in many of the Affordable Care Act marketplaces in an effort to expand health insurance coverage, according to a White House statement.
Good decision. During the open enrollment period I saw only one commercial for sign-ups for the ACA and it came when there was only a week or two left for the people to enroll. Intentional sabotage doesn’t begin to describe what tRump and his cronies tried to do to the ACA to dissuade people from signing up.
I’m guessing he talked to the insurance companies and healthcare.gov people about this in advance to prepare them to do this in two weeks as it is likely not a turn it on, turn it off kind of feature. They’ll have to change their software to create the open window, calculate discounts properly, etc.
Was in the IT business for 45+ years, I’d be surprised if the software did not have a switch to flip, or most likely a date range that is initiated. Of course, some asshole IT corp will charge well over $1M to flip that switch and/or enter the dates. For sure would never create a routine that would allow a low-level department worker bee the option, that would only be taking the execs bonus away (full disclosure I retired as a COO).
As for HC companies, I don’t have a clue but would imagine not much would need to be tweeted to make it happen.
I was also in IT for years (though only 30+). Changing date ranges in availability doesn’t necessarily mean the things calculated on an annual basis will have the same techniques available for calculating eligibility properly. They will at the very least have to create and test scenarios and interfaces (ETA: That’s a LOT of interfaces) before letting it rip. Whether two weeks is enough for all of that is a serious question.
It’s not the technical question, it’s the rates question. They normally take months to run all the calculations for what the rates for the following year will be, extrapolating out from the prior-year costs, estimating take-up and loss of enrollment during the upcoming period, etc.
Something like this will throw a major monkey wrench at their processes, potentially bringing in significant numbers of people at rates that weren’t calculated including them. Will make next years’ premiums a mess for folks.
Too true: I can’t escape the conclusion that they saw insuring average Americans as a waste of their money. Or, they simply relished the suffering they were causing.
If they used experienced people to create the calc routines there should be zero issues. However I’d imagine that some just out of college “genius” was assigned the work, I have seen critical software often assigned to such folks. Then all forms of CYA are initiated as for why it failed.