A Washington Post story today says nearly half of the state health care exchanges are struggling, with rising costs and balky technology.
Minnesota fits into that category.
The story says:
Many of the online exchanges are wrestling with surging costs, especially for balky technology and expensive customer-call centers — and tepid enrollment numbers. To ease the fiscal distress, officials are considering raising fees on insurers, sharing costs with other states and pressing state lawmakers for cash infusions. Some are weighing turning over part or all of their troubled marketplaces to the federal exchange, HealthCare.gov, which is now working smoothly.
In discussing specific state exchanges, the story adds:
In Minnesota and Vermont, officials are so fed up with costly technical problems in their exchanges that they are considering handing over some or all of their functions to the state or federal governments. Lawmakers in Oregon abolished the state exchange in March, long after it was essentially turned into a gateway to HealthCare.gov.
Further complicating the issue is the pending Supreme Court decision on whether tax subsidies can be given to consumers in the 34 states that use the federal exchange.
Officials in states with struggling exchanges — who might be considering going into the federal exchange — are holding off until the Supreme Court rules, to be sure their residents will be eligible for subsidies.