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October 09, 2014 12:00 AM

HealthCare.gov will still have 'imperfections,' Burwell says

Paul Demko
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    Burwell

    HHS Secretary Sylvia Mathews Burwell acknowledged on Wednesday that HealthCare.gov is still a work in progress, with little more than a month before the start of the next open-enrollment period through the state and federal exchanges.

    “Will there be imperfections? Yes. Things will not be perfect,” Burwell said during an event at the Kaiser Family Foundation's Washington office.

    Burwell declined to state a goal for how many individuals the agency hopes to sign up during the three-month enrollment period that begins Nov. 15. During the first year, there have been 7.2 million enrollments through the exchanges, according to HHS. The Congressional Budget Office estimated that 13 million individuals will sign up for coverage through the government-run marketplaces during the first two years of operations.

    Burwell cited a 25% increase in the number of insurers participating in the exchanges as evidence that the fledgling marketplaces are working. “The risk pool is something, obviously, that the insurers believe is a risk pool that works for them economically, or they wouldn't be entering and putting plans in the marketplace,” she said.

    Burwell also acknowledged that issues with back-end operations on the website continue. Specifically, she cited problems with paying insurers and interactions with the Internal Revenue Service as areas where work continues.

    “We are prioritizing as we go through, but continuing to make progress on back-end issues,” she said.

    Burwell also addressed the Ebola crisis during the forum. She has been involved in daily meetings since July to discuss efforts to contain the virus, she said. “Everyone knows the nation is frightened and people are frightened of this disease,” Burwell said.

    Thomas Eric Duncan, the only confirmed case of Ebola in the U.S., died Wednesday. A second man, who indicated that he'd been in contact with Duncan, has been admitted to Texas Health Presbyterian Hospital Dallas for treatment after showing some symptoms consistent with the disease.

    The hospital reported Thursday morning that he was in good condition with “no fever, no vomiting, no diarrhea.”

    Burwell noted that U.S. troops on the ground in West Africa are making progress in constructing Ebola treatment units. She also indicated that they are working on building a 25-bed facility where medical personnel from around the world will be able to stay safely.

    “The numbers are going to increase before we can get to a leveling-off point,” Burwell said of the outbreak.

    Follow Paul Demko on Twitter: @MHpdemko

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          • - Luminaries
          • - Top 25 Women Leaders
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        • Digital Health Transformation Summit
        • ESG: The Implementation Imperative Summit
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        • Social Determinants of Health Symposium
        • Women Leaders in Healthcare Conference
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      • Virtual Briefings
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        • - Value Based Care
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        • - AI and Digital Health
        • - Future of Staffing
        • - Hospital of the Future (Fall)
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