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Consultant's arrival brings hope to W.H. in Obamacare web site repair
Jeffrey
Zients, acting director and deputy director for management at the
Office of Management and Budget, testifies before the Senate Budget
Committee on the president's fiscal year 2014 budget proposal on April
11, 2013 in Washington, DC. /Photo by T.J. Kirkpatrick/Getty Images
WASHINGTON After a week of unrelentingly negative news coverage and consumer dissatisfaction with the healthcare.gov web site, the White House believes it has turned an important corner by identifying a date when the web site will be fixed.
Senior
officials said Obama was briefed by Zients on this target date and
given approval to release it publicly, a sign of Obama's high-degree of
confidence in Zients' ability to deliver. In private deliberations,
Obama had made it clear to senior White House officials he wanted no
discussion of target dates for the web site until he could be certain
that date could be met.
For Obamacare web repairs, time is of the essence
"Jeff's ability to create structure and a process and accountability
has a lot of us feeling much better about all this than we did a week
ago," a senior official said. "We set expectations unreasonably high
before and we are paying the price for that. We do not want to do that
again."
In fact, Obama sent signals he wanted a week of
padding around any announced date for the web site to be declared fully
operational -- meaning he wanted it working completely for at least a
week before anyone in the White House circled a date on the calendar.
On
Friday Zients -- previously Obama's chief performance officer and
deputy director of the Office of Management and Budget -- put that date
on the calendar.
"Each week, the site will get better as
we make the necessary fixes," Zients said on a conference call with
reporters. "And by the end of November, healthcare.gov will work
smoothly for the vast majority of users. Healthcare.gov is fixable."
Either
Zients or Marilyn Tavener, the head of the Centers for Medicare and
Medicaid Services, briefs Obama each day on the progress achieved in
fixing the web site's myriad problems. Starting this week, Obama began
receiving at the end of every day a detailed report charting, among
other things, improvements to the web site's ability to log-on
customers, keep them on the site without losing data and accurately
transferring data to insurance companies. Obama asked for reports to
contain details on the system's ability to widen the "aperture" -
meaning increasing the number of customers who could successfully
navigate the web site's requirements to logon, compare plans and
complete the enrollment process.
Obama taps trusted aide to fix health insurance website
Senior officials also expressed confidence that if Zients and others
can fix the web site by the end of November the White House will be able
to quell calls from some Senate Democrats to extend the enrollment
period for obtaining insurance. Sen. Jeanne Shaheen, D-N.H., is
currently leading those efforts.
The White House prefers
to keep the law's March 31 deadline for enrollment because it knows,
based on its analysis of enrollment patterns after Massachusetts enacted
its healthcare law, that most customers will enroll near the end of the
sign-up process. As one official said, consumers need deadlines and
moving the federal law's deadlines will only lengthen the sign-up
process.
It's equally true that insurance companies want
to keep the March 31 deadline because they are eager to acquire
customers and the premiums they pay to finance insurance coverage the
law requires for new and existing consumers -- a topic discussed
Wednesday when more than a dozen health insurance CEOs met with White
House Chief of Staff Denis McDonough, senior adviser Valerie Jarrett and
Health and Human Services Secretary Kathleen Sebelius.
Healthcare.gov often lists wrong price information
For White House veterans, this week has reminded them of the
intensely negative publicity, scrutiny and skepticism that surrounded
the administration's initially plodding response to the Gulf oil spill.
In those difficult days, Obama and senior officials realized nothing
could be communicated about cleanup efforts or economic intervention to
assist affected states until, as several officials phrased it then,
someone "plugged the damn hole" spewing oil into the Gulf.
Now,
officials here privately concede, the White House cannot convey
anything memorable about the new healthcare law until someone "fixes the
damn web site."
The great difference with the web site,
unlike the drilling platform that exploded in the Gulf, is the
administration created the healthcare law and the web site.
"We
built, we own it and it's all ours," said one official. "We can't
escape it and we will have to face all the criticism until we get it
right.
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