Read as much as you want on BostonGlobe.com, anywhere and anytime, for just 99¢.
  

Health law’s online glitches still widespread

Insurers remain confident issues will be remedied

WASHINGTON — The glitch-ridden rollout of President Obama’s health care law has opponents crowing: ‘‘Told you so’’ and insisting it should be paused, if not scrapped.

But others, including insurance companies, say there is still enough time to fix the online enrollment system before uninsured Americans start getting coverage on Jan. 1.

Continue reading below

After emergency repairs over the weekend, consumers in different parts of the country Monday continued to report delays on healthcare.gov, as well as problems setting up security questions for their accounts.

The administration says the site’s crowded electronic ‘‘waiting room’’ is thinning out. Still, officials said it will be down again for a few hours starting at 1 a.m. Tuesday for more upgrades and fixes.

Despite the confusion, the insurance industry has held off public criticism. Alarmed that only a trickle of customers got through initially, insurers now say enrollments are starting to come in and they expect the process to improve.

The last major federal health care launch — the Medicare prescription program in 2006 — also had big start-up problems. Government leaders who oversaw it say things could look very different in a couple of months for Obama’s law if the administration manages to get a grip on the situation.

‘‘There wasn’t enough time for testing, so the dress rehearsal became opening night,’’ said Michael Leavitt, who as President George W. Bush’s top health official oversaw the troubled debut of the Medicare drug plan.

‘‘The moment of truth is going to come in the middle of November, when people want to see the real deal,’’ said Leavitt, who heads a consulting firm that advises states on the health overhaul. ‘‘If they don’t have this running smoothly by then, it’s going to be a bigger problem than we’re seeing today.’’

Obama’s law — known as the Affordable Care Act — was designed to provide insurance for people who don’t have access to coverage on the job.

Middle-class uninsured people can buy a government-subsidized private plan, while the poor and near-poor will be steered to Medicaid in states that agree to expand the safety net program. The online insurance markets were envisioned as the 21st century portal to an overhauled system.

But when the health care markets went live last week, millions of curious Americans overwhelmed federal and state insurance websites. The level of interest could be read as a good sign, since polls just before the launch found most uninsured people unaware it was coming. Yet for many, the consumer experience was like a Saturday morning spent twiddling thumbs at the local motor vehicle department.

Some prospective customers got a screen that told them to wait — and nothing happened, for hours. Others started to sign up and got trapped by a recurring glitch when they tried to set up security questions to protect their personal accounts. Some who got through all the way to the end found their sessions had timed out, and they had to start over.

The federal website that serves 36 states wasn’t the only problem; several states also had a rough launch. And Republicans opposed to ‘‘Obamacare’’ were willing to shut down the government in an effort to stop it. Still, the administration seemed to be its own worst enemy.

‘‘What you’ve got here is the government going into the e-commerce world, and it’s a very difficult thing to do,’’ said Gary Lauer, chief executive of eHealth, corporate parent of eHealthInsurance.com, a well-known private portal.

Technology experts say the problems are probably due to a combination of factors: unexpectedly high demand, as well as possible software flaws and shortcomings in design. Sometimes a high volume of users can expose software problems that went undetected in testing, they said.

The administration has mainly blamed high volume. The Health and Human Services department says it is adding servers —workhorse computer equipment — to the system to handle the volume of user requests. Official media releases have hinted at software and system design problems, without providing detail. For example, one referred to procuring ‘‘dedicated hardware’’ for an unnamed ‘‘specific component of the system that became over-stressed.’’

Problems caused by website overload should ease as more equipment is added. Software and design flaws are trickier to fix, meaning more repairs.

Monday, White House spokesman Jay Carney said officials would not release enrollment data on an ‘‘hourly or daily or weekly basis,’’ although outside experts say the administration is certain to have those numbers. Officials regularly report the number of unique visitors to healthcare.gov, but don’t say how many get to the end of the application. Those numbers will be released at ‘‘regular monthly intervals,’’ Carney said.

Mark McClellan, who ran Medicare during the bumpy prescription program rollout in 2006, said that for consumers, ‘‘the message is ‘take a deep breath.’ If you are interested in this program, you do not need to make a decision this week, or even this month. You should make a decision by November. Given the issues a lot of people are having, that’s probably a good reason to wait.’’

Loading comments...

You have reached the limit of 10 free articles in a month

Stay informed with unlimited access to Boston’s trusted news source.

  • High-quality journalism from the region’s largest newsroom
  • Convenient access across all of your devices
  • Today’s Headlines daily newsletter
  • Subscriber-only access to exclusive offers, events, contests, eBooks, and more
  • Less than 25¢ a week