MNsure’s rocky rollout: It’s blame-game time
Vendors blame the state. Dayton blames the private companies. Republicans blame the governor. And current MNsure leaders say they weren’t in charge when controversial decisions were made.
James Nord covers politics and the Minnesota Legislature.
Vendors blame the state. Dayton blames the private companies. Republicans blame the governor. And current MNsure leaders say they weren’t in charge when controversial decisions were made.
Maximus’ view: “MNSure assumed responsibility for defining how the Exchange would function [and] how … vendor solutions would come together to produce the customer experience.”
The exchange staff last year made a significant change to a key contract, taking more responsibility for building MNsure’s infrastructure.
Problems with the product have “seriously hindered Minnesotans’ abilities to purchase health insurance or apply for public health care programs,” the governor wrote.
Rebecca Lozano: “MNsure is probably the biggest deal that I can think of … the biggest impactful change in health care since Medicare.”
With Minnesota’s expansion of Medicaid, stressing out over treating bumps and breaks will soon be a thing of the past for Eleta Pierce and her children.
Consumers selecting plans for Jan. 1 now have an extra week — until Dec. 31 — to choose their coverage, MNsure announced on Friday.
“I’m not going to comment on that,” Dayton said about whether he ordered former MNsure head April Todd-Malmlov’s departure.
Scott Leitz said Wednesday that he will work to fix the glitches and to improve transparency at the organization.
She stepped down Tuesday evening and will be temporarily replaced by senior Human Services official Scott Leitz.
Republican leaders leveled another round of criticisms. A Dayton official said around-the-clock efforts are under way to resolve problems.
MNsure officials said their latest statistics make them confident that enrollment will keep pace with their targets for the initial sign-up period.
Larry Kocot noted that the rollout of Medicare Part D benefits had problems similar to those with the Affordable Care Act’s health insurance exchanges.
Minnesota is in a growing group of states with at least partial Democratic control that have rejected Obama’s proposal for dealing with substandard health plans.
The switch to the new law is essential as a transition from a “broken market” to a “fair market,” says economist Jonathan Gruber, a MNsure consultant.
The governor sided with health insurers, saying it would be “unworkable for your members and would likely cause more expensive health coverage for Minnesotans.”
When other enrollees are added in, the health exchange did far better than the 38 percent level originally reported.
Officials, insurers and the state’s health exchange are trying to figure out what to do with the relaxed regulations.
A survey of 15 states found Minnesota’s offerings about one-third higher than the overall average.
A lower-than-expected federal grant won’t affect operations next year, an exchange official said on Wednesday.
By James Nord
Nov. 7, 2013