Controlled chaos and business-as-usual appear to be the prevailing sentiments among health care industry experts when discussing the much-anticipated opening day of the public health care exchanges which, at press time, was a little over one week away.
“When you implement large technology, things aren’t perfect on day one,” says John Kelly, principal business adviser with Edifecs, an exchanges technology provider. “The fact that the requirements that the feds are spitting out were coming in almost in real time as people were designing and building [the exchanges] – and, in some cases, requirements had to go back and be revised as recently as May and June – there’s a lot that’s going to be bare bones about the initial [launch].”