For now, "we have timelines that are legislated and so we'll continue to march down those legislated timeframes," Branzell says. "If anything, it gives us less of an option at this point, probably, to see any flexibility in that, because they're going to be focused on getting the new secretary nominee through that [nomination] process, so we're probably under more pressure now to get things done in the timeframes that are there."
"In some ways, those of us in IT kind of cringe when we think about the rollout of Healthcare.gov, because it was a great opportunity and it was just completely mismanaged," says David Miller, vice chancellor for IT & CIO at the University of Arkansas for Medical Sciences.
"The person [Sylvia Mathews Burwell] that they've got up for the potential nomination looks really good as well," Miller says. "I think this was probably just a whole lot tougher than people thought it would be, and a whole lot more complex. Those who have been in healthcare—I've been in healthcare 35 years— those of us who have been in healthcare for a long time, know it's a very complex business, and it's very difficult to just make assumptions on what people will and won't do in terms of signing up for insurance or whatever it might be.