Dixon writes that 14 states and the District of Columbia have built online health exchanges and some of those sites encountered glitches or failed to draw enrollees.
Federal guidelines should not be blamed the failures because a few states managed to roll out exchanges with only minor problems, according to Dixon.
“If a few states were able to launch successfully, they all should have been able to do so, ” Dixon writes.
He observed some IT project management issues in areas such as oversight and accountability, progress reporting and contract work coordination.
“Lackadaisical oversight can result, especially when the federal government is distracted by designing a similar system and has yet to be able to share best practices.”