As 2014 draws to a close we take a look back on the year and think about the year to come and what it all means to the Affordable Care Act (ACA).
The Roll Out-Marketplace Insurance
Looking back, an objective observer would have to say that the year was, at best, mixed for the ACA. The year began under the shadow of news-generating failures in the roll-out of the Marketplace. Headline stories told a tale of websites crashing, failures to enroll and incomprehensible and never-ending screens for individuals to complete. Some states' websites fared no better: for example, Oregon requested and received an extension for its open enrollment because its website wasn't enrolling people. After spending approximately one-quarter billion dollars, Oregon threw in the towel and announced it was moving to the federal exchange model. On the opposite coast, Massachusetts spent millions trying to get its system-which had been working fine for 6 years-to work under the ACA model. At one point those attempting to enroll were being notified via U.S. mail whether they were eligible for subsidies.