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HealthCare.gov stumbles twice on deadline day HealthCare.gov stumbles on deadline day as consumers race to sign up for insurance
(about 4 hours later)
As Americans around the country raced on Monday to sign up for health plans in new insurance marketplaces before a midnight deadline, HealthCare.gov, the online federal insurance exchange, was closed to new customers for two periods starting at dawn. The first six-month window for Americans to gain health insurance under the Affordable Care Act closed on Monday with large numbers of consumers speeding to get coverage at the last minute. Some of them encountered obstacles as HealthCare.gov, the main enrollment Web site, faltered on and off throughout the day.
Federal health officials said that a midday shutdown was caused primarily by the large numbers of customers coming to the federal Web site, while software problems were responsible for the site opening about three hours late in the morning. Union halls, shopping-mall kiosks and insurance company lobbies across the country were jammed with people racing to get insurance on the final day before the law required most Americans to choose health insurance or risk a financial penalty.
Both the onrush of new customers and the possibility of computer troubles had been anticipated by Obama adminsitration officials as the end of the six-month window approaches for people to buy new health plans under the Affordable Care Act, a 2010 reshaping the U.S. health care system. Mindful of a potential last-munite frenzy, health officials decided last week to let anyone ask for extra time until a so-far unspecified time in April if they attempt to enroll in a health plan by the deadline. “It’s like going into the mall on Christmas Eve,” said Brian Lobley, senior vice president of Independence Blue Cross, which set up a “Countdown to Coverage” with extra desks and phone lines in the usually empty lobby of its headquarters four blocks from city hall in Philadelphia’s Center City. Employees whose jobs have nothing to do with sales were pressed into service, and customers were triaged as they walked in, with priority given to people who had not even begun to shop for insurance before Monday.
Shortly after noon on Monday, visitors arriving for the first time to the Web site were greeted with a screen saying, “We need you to wait here, so we can make sure there’s room for you to have a good experience on our site.” The screen invited them to leave email addresses so that they could be contacted when the volume lessened, although it was unclear whether that would be later today or after the official deadline. In Los Angeles, the local affiliate of the Service Employees International Union began an enroll-athon at 5 a.m. and, by the end of the day, had attracted more than 700 people to a lively scene with food trucks, music and more than 50 staffers and volunteers.
By about 1:30 p.m., the site began to reopen, although access to it remained intermittent. By the time President Obama appeared Monday evening on “CBS Evening News,” he sounded relieved. “We admittedly had just a terrible start because the Web site wasn’t working,” Obama said, referring to the site’s rocky beginnings. “But given how gloomy I think everybody’s assessment was back in the middle of November, I’d say that we’re on our way to making sure that no American ever has to go without health care.”
During that interval, consumers were unable to start new applications, although those who already were farther along in the steps towards enrollment were able to continue, according to Aaron Albright, a spokesman for the Centers for Medicare and Medicaid Services, the agency overseeing the new insurance exchange. Late in the day, federal officials could not say how many people had signed up. But health officials said that, by 8 p.m., 1 million people had phoned in to a network of call centers across the country nearly a half-million more than the total for any other day since the federal insurance marketplace and 14 similar state ones opened on Oct. 1. And 3 million had visited HealthCare.gov, they said.
The midday troubles were caused primarily by the volume of people trying to sign up, said a federal health official, speaking on condition of anonymity about information that has not been made public. The outpouring of last-minute interest reinforced arguments by the Obama administration and its allies, made since the law was enacted four years ago, that it would become popular once Americans had a chance to get the new health plans that it spawned and, in most cases, with federal subsidies to help pay for them.
At noon, 109,000 people at once were on HealthCare.gov, twice as many as the day before, according to federal health officials. Still, as the deadline arrived, fresh evidence emerged that the law, which has set in motion the broadest changes to the U.S. health-care system in nearly half a century, remains mired in a wide partisan divide. A new Washington Post poll indicates that three in four Democrats support the law a rise of 11 percentage points since January compared with one in five Republicans.
The pauses in new sign-ups have come as record numbers of people on Monday also flooded a network of call centers for help in getting insurance through the marketplaces created by the Affordable Care Act. By noon on Monday, the centers logged 350,000 callers, roughly triple the volume on the second-highest day, Dec. 23, as the deadline approached for people to choose health plans in time for their coverage to start on New Year’s Day. Earlier on Monday morning, HealthCare.gov also had troubles. Because of a software problem, technical support workers kept the site down until a few minutes after 8 a.m. about three hours after the site was scheduled to reopen after routine nightly maintenance. The last day of sign-ups contained an echo of the computer troubles that dominated the early months of the open-enrollment period last fall. During two periods of the day that lasted a total of several hours, HealthCare.gov was inaccessible to new customers and early on, to anyone at all.
Instead of opening at 5 a.m. as scheduled, after a routine maintenance period the Web site remained closed until after 8 a.m. because of a software problem. Then, starting shortly after noon Monday, visitors to the Web site were greeted with a screen saying, “We need you to wait here, so we can make sure there’s room for you to have a good experience on our site.” The screen invited users to leave e-mail addresses so they could be contacted when the volume lessened, although it was unclear whether that would be later Monday or after the official deadline.
Federal health officials said the second problem occurred because the system that creates new accounts was overloaded by the number of people trying to use it at the same time. During this time, consumers were unable to start new applications, although those who already were further along in the steps toward enrollment were able to continue, according to Aaron Albright, a spokesman for the Centers for Medicare and Medicaid Services, the agency overseeing the new insurance exchange.
By about 1:30 p.m., the site had begun to reopen, although access to it remained intermittent throughout the afternoon and into the evening as federal health officials instituted a “virtual waiting room” for people who could not get on the site.
By late afternoon, Jeanne Devoe, a retiree who lives outside Asheville, N.C., had been trying for more than an hour to get onto HealthCare.gov to help her 27-year-old son get a health plan. He had begun the application process before but could not remember his password. Devoe had gotten the Web site to send a link to reset the password, but every time she tried to log back in, she said, she encountered a screen telling her that the site “has a lot of visitors right now!” She phoned a call center and got a recording saying that someone would call back in five to seven business days.
“We’ve gotten lots of phone calls and lots of interest,” said Christopher Cook, owner of Alliance Insurance, an independent insurance agency with three offices around the Winston-Salem, N.C., metro region. He said Monday night that Alliance’s offices talked to 48 people who wanted to sign up, but because of the Web site troubles they were able to complete only two enrollments online.
Such frenzy materialized Monday even though Obama administration officials had been mindful of the potential for a last-minute surge. They had acknowledged publicly that they were uncertain whether HealthCare.gov could withstand a late rush.
As a result, administration officials decided last week to try to take pressure off the official deadline, saying that anyone who had tried to choose a health plan in the new insurance marketplaces by the last day of March could ask for an extension. People can claim the extra time through an as-yet-unspecified date in April. The government will rely on an honor system in which people will simply have to click on a blue screen, scheduled to appear on HealthCare.gov after Monday, saying that they had previously attempted to enroll.
“I try to tell people: ‘Don’t worry. Just because you can’t get in right now, it doesn’t mean you won’t be able to,’ ” said Karla Borders, a manager for enrollment assisters at a senior center in southeastern Wyoming, who spent Monday fielding calls from anxious people who had not yet gotten insurance.
During the past two days, however, scattered consumers were reporting that they had phoned call centers, aware of the chance to get extra time, and were told erroneously that no such extensions exist.
Sandhya Somashekhar and Juliet Eilperin contributed to this report.
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