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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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.