Cover Oregon

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Cover Oregon

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Cover Oregon was the health insurance marketplace for the U.S. state of Oregon, established to comply with the Patient Protection and Affordable Care Act (ACA). It was intended to provide a platform for individuals and small businesses to compare and purchase health insurance plans.

History

Cover Oregon was created as part of the ACA's mandate for states to establish their own health insurance exchanges. The goal was to increase access to affordable health insurance and reduce the number of uninsured individuals in Oregon.

The marketplace was launched in 2013, but faced significant technical challenges and delays. The website was plagued with issues that prevented users from being able to enroll online, leading to a reliance on paper applications and manual processing.

Technical Challenges

The launch of Cover Oregon was marred by technical difficulties. The website, which was supposed to allow users to compare and purchase insurance plans, was not functional at launch. This led to a backlog of applications and a reliance on manual processing.

The problems with the website were attributed to a combination of poor project management, inadequate testing, and issues with the contractors responsible for building the site.

Transition to Healthcare.gov

Due to the persistent issues with the Cover Oregon website, the state decided to transition to the federal HealthCare.gov platform in 2014. This decision was made to ensure that Oregonians could access health insurance coverage without further delays.

The transition involved moving all of Cover Oregon's functions to the federal platform, which was completed in time for the 2015 open enrollment period.

Impact

The failure of Cover Oregon's website was a significant setback for the state's health insurance exchange efforts. It led to increased scrutiny of the state's management of the project and resulted in legal actions against the contractors involved.

Despite the challenges, the transition to HealthCare.gov allowed Oregonians to continue accessing health insurance coverage under the ACA.

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Contributors: Prab R. Tumpati, MD