A View From The States: Health Care Continues Stumbling Startup

States are making some progress getting customers signed up for health insurance. But it isn’t pretty. Here is a roundup of dispatches from KHN’s radio partners at NPR member stations:

on the state鈥檚 new Affordable Care Act marketplace, where it was taking up to three hours to successfully enroll an individual in a health insurance plan. 鈥淚t overall is very challenging. It鈥檚 definitely not functioning at the level we need it to function,鈥 said Tyann Boling, chief operating officer of Enroll Alaska. 鈥淵ou know we鈥檙e trying to enroll much more people than we鈥檙e actually able to enroll,鈥 she said. 鈥淏ut the problem is, sometimes it works and the majority of the time it doesn鈥檛.鈥 — Annie Feidt, , Anchorage

When enrollment opened in California Oct. 1, a tool designed to help consumers search for doctors wasn’t working. Early last week, . But, within hours, those using it found a slew of problems. Covered California, which runs the state exchange, took it offline again to make some fixes. “I had an opthamologist friend listed as speaking Farsi, Russian and Spanish, and he doesn鈥檛 speak any of those languages,” says Dr. Richard Thorp, president of the ., which represents about 37,000 doctors statewide. Perhaps even more awkward, data loaded into the site contained errors that linked doctors to the wrong specialty. For instance, Thorp says, a gynecologist friend of his was listed as an ophthalmologist. — Stephanie O’Neill, , Los Angeles

While Mississippi’s federally run exchange is improving, mountains of problems have prevented many uninsured Mississippians from enrolling. Dr. Michael Minor, who is running one of two navigator programs to enroll Mississippians, are willing to push through. “We have people that, before it got better, were getting up in the middle of the night just to try and log on because they want coverage. I am sure that there are some people that are a little bit frustrated, but the feedback we are getting from the field people are going to persevere because they want the insurance,” Minor said. Minor says he is not frustrated yet, but that could change if the website is not fully functional by mid-November when outreach efforts hit high gear. — Jeffrey Hess, , Jackson

Oregon鈥檚 new health insurance exchange may not be able to start processing applications on its new website until early next month. CoverOregon chief the backup plan is to start processing applications by hand. 鈥淚 believe we鈥檒l be up and running way in time for people to get coverage by Dec. 15th,鈥 he said. “That said, we also have contingency plans that we鈥檝e put in place that we鈥檒l be able to accept paper applications and paper enrollment. And we鈥檙e starting that process this week.鈥 — Kristian Foden-Vencil, , Portland

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