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Will Oregon leave its health exchange behind?

April 28, 2014
Compliance By LW Consulting Inc.

Cover Oregon, the online health insurance exchange for the Beaver State, has been having some trouble recently thanks to a bumpy relationship with provider Oracle. Now, as the Washington Post reports, it appears the state is changing tactics—and abandoning this approach entirely.

The source notes that the official decision to do this comes after officials at various levels within the state decided to embrace instead. Although the final decision will depend upon a conference with the Centers for Medicare and Medicaid Services that will happen later this month.

Local source KATU has noted that Oracle has blamed the state for the exchange's failings. But on the other hand, Cover Oregon reportedly lobbies that Oracle did not do a proper job when setting up the system. The same news story also features comments from Cover Oregon's Garrett Reynolds, who asserts that Oracle is definitely responsible for the problems that have come.

"The review shows that the Oracle development team's quality of the work was atrocious and that they broke every single development best practice that Oracle themselves have defined," he wrote. "It is one of the worst assessments I have performed in my 18 years of Siebel work."

But regardless of who is most at fault and owes the most money, it now seems that state will likely spend as much as $6 million to change over to the federal system, according to NPR. This is preferable to searching for further fixes to the existing system, which Cover Oregon estimates would cost nearly $80 million to perform successfully.

Healthcare consulting services can be used to try and help a practice make crucial decisions like this, and provide medical litigation support when it becomes necessary to take a new approach.