Wednesday, February 18, 2015

Maybe not the right prescription

So the audit of MNsure is in. And so are the reviews:

An expansive new study that chronicles MNsure’s troubled debut concludes that failures outweighed achievements in the health insurance exchange’s first year.

The report that Legislative Auditor James Nobles delivered Tuesday is the most thorough government review to date of MNsure’s initial shortcomings. It documents issues with MNsure’s online enrollment system and customer service, plus a lack of testing before the system debuted in October 2013. 
“We think MNsure performed poorly,” Nobles said during a House committee meeting Tuesday.

Joel Alter, evaluation manager for the auditor’s office, added: “MNsure overpromised and it underperformed.”
Not gonna argue with them. But their solution? Not so good:
Going forward, the auditor’s report recommends changes in state law to improve the exchange, and argues that “an agency with MNsure’s impact and visibility should be directly accountable to the governor.”
Have they seen who's in that chair recently?

2 comments:

Bike Bubba said...

They're actually closing in on the problem by suggesting changes in state law, as quality ought to start with management, which in our government is the law. That leaves the "fifth why" of asking the question of whether a legislature dominated by the DFL can fix the law.

Of course, maybe politics precludes them from giving the obvious answer to that one. :^)

Mr. D said...

I agree, BB — I have a lot of respect for James Nobles, who has always been an honest broker. The word I've heard is there were a lot of people involved in the initial rollout who were issuing warnings and that the flashing red lights surrounding the project made it look like a 70s era disco. The team in charge ignored all that and told the governor what he wanted to hear. As always, when the legend becomes fact, print the legend.