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Technology Recommendation: Alex Pettit, PH.D., Acting Chief Information Officer APRIL 24, 2014
Technology Recommendation: Alex Pettit, PH.D., Acting Chief Information Officer APRIL 24, 2014
Technology Recommendation: Alex Pettit, PH.D., Acting Chief Information Officer APRIL 24, 2014
OBJECTIVES
Recommend to the Board of Directors the best technology option for enrollment, renewal, and change of circumstance to support the 2015 open enrollment beginning 11/15/2014 Document recommendation with a final report Assumptions: Enrollment, renewal, and change of circumstance for individuals is to be made available online within Cover Oregons current budget coupled with the lowest possible risk by or before November 15, 2014
RECOMMENDATION GUIDELINES
Risk Must provide the highest level of certainty for seamless individual enrollment, renewal and change of circumstance Schedule Thoroughly tested and operationalized prior to November 15, 2014 Cost Must be delivered within available resources
RECAP OF PROGRESS
1. Initial Meeting: March 11 - Articulate problem scope and constraints 2. Workshop Meeting: March 13 - Further description of problem 3. Workshop Meeting: March 18 - Articulation of solutions and limitations 4. Workshop Meeting: March 21 - Go forward plan proposed and detailed 5. Preliminary recommendation Meeting: March 27 - Go forward plan reviewed and approved 6. Status Monitoring Meeting: March 31 Dual Approach
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New Direction
New Product Solution New Service Solution
Federal Technology
Transfer SBM
Exeter
SaaS SHOP
Direct to Carrier
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Enrollment
Partnership
Hybrid
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Exchange Lite
Risk: Has not been successfully done to date Schedule: Infrastructure procurement and configuration would need to be completed before modifications to the application could begin Cost: Maryland: $45MM, plus infrastructure
OUR PRELIMINARY RECOMMENDATION: DUAL APPROACH Fix Current Technology / New Vendor: fix current technology and use a systems integrator
Simultaneously develop a plan to utilize the federal exchange technology and execute if milestones are missed
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KEY FINDINGS
Maintain no wrong door vision for Oregonians to access services
Infrastructure & technology is in place and enrollments are occurring (with a large manual effort) State of code and complexity of architecture pose significant challenges to stabilize what is currently developed
DELOITTE ASSESSMENT
Stabilization of current software and development of renewal capability is all that can be achieved by November 15, 2014 Change of circumstance would not be completed until November 2015 Total effort is estimated to exceed 390,000 hours, @ $200/hr $78MM to complete
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Risk: Aggressive timeline introduces substantial risk into project plan with little margin for error Schedule: Not all functionality can be completed by November 15, 2014 Cost: This option exceeds available resources
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KEY FINDINGS
Requires CO to maintain operations for 2014 events
Provides individual enrollment, renewal, and change of circumstance by the November 15, 2014 deadline Provides for QHP eligibility, plan shopping and enrollment 11 of 16 Oregon carriers already have interfaces with FFM Medicaid eligibility can be moved to OHA; requires no further development from Cover Oregon but significant work from OHA
DELOITTE ASSESSMENT
Migration to federal technology for QHP eligibility and enrollment expenses - $4 6MM
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Utilize cross-agency project team, rely on one system integrator for both entities
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Risk: Enrollment, renewal, and change of circumstance functionality are currently available, lowest risk option Schedule: All functionality will be available before November 2014 Cost: Estimates are within available resources
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OBJECTIVES/RECOMMENDATION
Recommend to the Board of Directors the best technology option for enrollment, renewal, and change of circumstance to support the 2015 open enrollment beginning 11/15/2014 Document recommendation with a final report Assumptions: Enrollment, renewal, and change of circumstance for individuals is to be made available online within Cover Oregons current budget coupled with the lowest possible risk by or before November 15, 2014
Milestones to fix current technology were not met We received more information on utilizing the Federal Technology Based upon Risk, Schedule, and Cost, we recommend moving forward with the Federal Exchange for QHP and leverage our current investment to support Medicaid in OHA
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