Implementation of ACA: Antos on 'Health Affairs Conversations'

“Fact is, . . . this is not a consumer friendly operation. Now, let’s be clear: why did the administration decide that they were going to make people give their personal information before seeing the first option? The answer is completely clear: they knew, at the start of this design process, which was not two weeks ago but more like two years ago, they knew that rates were going to be high, and they didn’t want to scare people off.”

“There are smarter ways to do this. You didn’t really have to get everybody’s Social Security number before you let them see what their options were. You could have designed a system that, similar to what the Kaiser Family Foundation has done (without getting government contractors involved) gives you, if not your exact premium number, a number that’s pretty accurate. Pretty close, and ideally, at worst, it could have been ranges of premiums rather than the exact number. “

“I think the problem here is that the administration wanted to keep everything centralized, they wanted one-stop shopping. The reality is there are a lot of different functions, and it would have been a much safer bet in terms of computer coding to keep those functions separated out a little bit.”

To access the entire conversation between AEI health care policy scholar Joseph Antos and Health Affairs’ Chris Fleming, please click on the link.

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