Consultants at First Data say management fragmentation and over-use of temporary workers hurt Oregon's public health insurance exchange.
Oregon's state-based Cover Oregon started with enthusiastic support from its state, and $464 million in state and federal funding. It has helped 49,500 residents sign up for "qualified health plan" (QHP) coverage.
But the state has never gotten its Web-based enrollment system or automated application processing systems to work. The exchange has had to process applications by hand.
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