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The Cover Oregon health insurance exchange intends to lay off 61 people starting in March, cutting its workforce in half. A political embarrassment since failing to deliver a working enrollment-and-subsidy website last year, the exchange is expected to be dissolved as a stand-alone legal entity by the Legislature in the next few months, its remaining functions transferred to a state agency. (Budnick, 1/12)

A prob­lem with the MNsure sys­tem has pre­vent­ed about 7,500 peo­ple from en­rol­ling in public health in­sur­ance programs, state of­fi­cials said Mon­day, as they de­scribed what ap­pears to be the larg­est tech­nol­o­gy glitch of the cur­rent open en­roll­ment pe­riod. (Snowbeck, 1/12)

The Connect for Health Colorado board of directors agreed to spend an additional $322,000 through the end of February to try to sign up applicants stalled in the state health insurance exchange's online enrollment system. Interim chief executive Gary Drews said the emergency expenditure was needed to resolve about 1,900 outstanding reports of problems — down from as many as 4,800. (Draper, 1/12)

Cancer patients desperately in need of critical care are among those unable to get health insurance because Colorado’s sign-up system is failing to work properly, health coverage guides told state officials on Monday. (Kerwin McCrimmon, 1/12)

A Maryland company that has reaped millions of dollars in federal health-reform grants for work around the country is drawing fire for its performance in the Kansas City area. Critics say that Advanced Patient Advocacy, a privately held company, has been slow off the mark in its role as a “navigator” organization, charged with helping consumers find coverage through the health insurance marketplace established by the Affordable Care Act. (Sherry, 1/12)