Abstract
This case describes the development of the HealthCare.gov website front-end, systems and databases supporting the implementation of the Affordable Care Act. In late October 2013, US Health and Human Services Secretary Kathleen Sebelius and US Centers for Medicare and Medicaid Services Administrator Marilyn Tavenner appear before a Congressional subcommittee to apologize about system glitches. The case gives students an opportunity to consider project risks that affected this huge systems development effort, and to consider how to ensure that millions of uninsured or underinsured Americans would be able to sign up for affordable health insurance.
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References
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Acknowledgements
The authors acknowledge Ashok Rao, who provided invaluable insights as co-author of the first version of this case, which received a Best Case award from the Project Management Institute when presented at the Northeast Decision Support Systems Conference in March 2015. Rao opted out of the current version of the case. Janis Gogan acknowledges Bentley University, which provided a summer research grant for this case study.
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This case was prepared based on publicly available sources, to support class discussion rather than to illustrate either effective or ineffective handling of the situation. All characters and events are based on substantiated facts. Copyright 2016, Janis Gogan, Elizabeth Davidson, and Jeffrey Proudfoot.
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Gogan, J., Davidson, E. & Proudfoot, J. The HealthCare.gov project. J Info Technol Teach Cases 6, 99–110 (2016). https://doi.org/10.1057/jittc.2016.2
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DOI: https://doi.org/10.1057/jittc.2016.2