MA to dump health website contractor

March 18, 2014

Massachusetts planned to cut ties with the contractor for its hobbled health care insurance website, state officials said.

CGI Group, a Montreal-based information technology firm, was also the lead contractor on the troubled federal health care website. The state hired the company last year to facilitate the state's transition from its first-in-the-nation universal health insurance program to the new requirements in the federal Affordable Care Act.

“We have made the decision that we are parting ways with CGI,” said Sarah Iselin, a health care executive who was hired by Gov. Deval Patrick to oversee a fix for the website.

Iselin told a meeting of the board of directors of the state's health connector that negotiations had begun with CGI on a transition, but it was not immediately clear when the state contract would formally end and how much the company would ultimately be paid.

Officials said last month the state had paid about $15 million of CGI's original $69 million contract slated to run through September.

“CGI has worked tirelessly to deliver a health insurance exchange for the residents of Massachusetts. We will work with the Commonwealth to ensure a smooth transition to the next phase of exchange deployment, allowing for the best use of system capabilities already in place,” the company said in a statement Monday.

Iselin said the state was leaning toward hiring a new vendor to fix the website, but added her team had ruled out a complete rebuild of the current site, a “start from scratch” option that was deemed unworkable.

Another possible solution, the purchase of technology from states with smoothly functioning insurance sites, was shaping up as a less viable option because of the complexity of the Massachusetts system, she added.

The goal was to have a fully functional site by the start of the second federal open enrollment period, scheduled to begin in November.

“The picture we are painting is that we have a long way to go,” Iselin said. “We are not going to sugarcoat anything.”

A report released last month by the consulting firm MITRE said the Massachusetts site suffered from infrastructure and data stability necessitating a series of manual workarounds as the connector tried to enroll or re-enroll applicants in federal-compliant health coverage.

The technical glitches created a massive backlog of 50,000 paper applications, a pile that officials said had since been whittled to 21,000 with the expectation that it could be completely eliminated by the end of March.

The state so far has been able to move 84,000 residents with subsidized health coverage into temporary Medicaid coverage so they would continue to have access to health care coverage.

The U.S. Centers for Medicare and Medicaid Services agreed to give Massachusetts an extension from the nation's March 31 federal health care enrollment deadline until June 30.

The state is likely to seek an additional three-month waiver through the end of September, Iselin said Monday.

Massachusetts hired Optum, a health care technology firm, to help facilitate short- and long-term solutions for the website. Optum was to be paid at least $16.4 million through the end of March, the connector board was told.

The state is seeking a $50 million grant from the federal government to help cover costs associated with getting the health exchange up to par.

The Obama administration announced in January that it planned to part ways with CGI after the shaky rollout of

Sponsored Recommendations

Bridging the Health Plan/Provider Gap: Data-Driven Collaboration for a Value-Based Future

Download the findings report to understand the current perspective of provider and health plan leaders’ shift to value-based care—with a focus on the gaps holding them back and...

Exploring the future of healthcare with Advanced Practice Providers

Discover how Advanced Practice Providers are transforming healthcare: boosting efficiency, cutting wait times and enhancing patient care through strategic integration and digital...

Unlock Staff Capacity, Increase Safety and Reduce Operational Spend - Realizing ROI from AI enabled RTLS

Unlock staff capacity and enhance safety with AI-enabled RTLS! Join us on June 25th to learn how these systems can reduce operational spending and complexity, improving efficiency...

New Research: The State of Healthcare Cloud Security and Compliance Posture

Compliance & Security Debt Awareness Could Have Prevented Change Healthcare & Ascension Healthcare Breaches