Dr. Kitzhaber, please heal Cover Oregon stat
Heads have been rolling at the state capital since Gov. John Kitzhaber in mid-March released an independent assessment of Cover Oregon. If the Cover Oregon board agrees with Kitzhabers request to fire the chief information officer and chief operating officer, the tally for ousted Cover Oregon executives will have risen to five.
Whether a sixth person the governor himself should lose his job is a question voters eventually must answer. Kitzhaber told reporters that he was angry and disappointed by the roll-out of Cover Oregon. He should have added embarrassed.
What was intended to be an efficient mechanism for Oregonians to sign up for health care and serve as a model for the rest of the country has turned into an immense debacle, so much so that Oregon is the only state without a functioning website allowing residents to purchase health insurance at federally subsidized rates.
Cue the embarrassing headlines, including this recent one from The Washington Post: How Oregon wound up with the nations worst Obamacare website.
When Kitzhaber released the assesment, he pledged: I am taking a number of steps to put Cover Oregon on a path to help deliver on a promise to Oregonians that I have been pursuing now for 25 years: access to quality and affordable health care. My longstanding goal is to ensure that every Oregonian who needs insurance coverage has the opportunity to enroll through the exchange or directly with a health plan. I am equally committed to ensuring that the problems we have experienced here do not happen again.
Oregonians can only hope those words have more meaning this time around. By the way, that independent review cost taxpayers $228,000. Right now, Oracle Corp., the company tasked with creating the Cover Oregon software, has received $140 million and has yet to deliver anything that functions. The state still owes Oracle an additional $26 million for uncompleted work.
Kitzhaber has asked Attorney General Ellen Rosenblum to decide the full range of legal avenues and options for protecting the states investment. However, since there was no specific contract but rather a set of purchase orders, any attempt to receive compensation from Oracle will probably take several years and a lot of money to win some sort of legal settlement.
With that in mind, the powers that be at the time of this writing still havent made up their minds whether to stick with Oracle and allow it to fix the problems, go with software being used in another state or switch to the federal health insurance exchange system.
None of these options is appealing, but the latter two seem better than continuing to pay Oracle to fix a problem it has shown little ability to solve.
Oregon should cut its ties with Oracle and move on. If Oregon is going to have a working health insurance exchange system, it makes sense to use one thats been proven elsewhere. Kentucky, Connecticut, New York, Washington, Tennessee and, yes, even California, all have online health insurance exchanges that work.
But Oregonians must look not just at the cleanup, but also who was responsible for the mess. The independent report compiled by First Data identified lack of coordination as one primary problem with the program. Cover Oregon, the Department of Human Services and the Oregon Health Authority were all responsible for the project, but none had authority over the others. That made it difficult to communicate and reach decisions.
Whats more, Oregons agreement with Oracle went against recognized best practices and paid the software company based on time and materials rather than jobs completed.
While the massive scope of this program may have contributed to its downfall, the responsibility for the poor management decisions ultimately lies with the governor.
Voters must weigh Kitzhabers monumental failure with Cover Oregon against the rest of his 12-year record when they decide whether to re-elect him this fall.