By Karen Pallarito
THURSDAY, Oct. 10 (HealthDay News) -- A new poll of consumer satisfaction with the Affordable Care Act's health insurance exchanges confirms what headlines having been saying since the online marketplaces' launch: things have not gone smoothly.
Forty percent of Americans said the introduction of the insurance exchanges hasn't gone well, 20 percent said it's gone somewhat well and 30 percent had no opinion. Just 7 percent said the launch, which began Oct. 1, had gone "very well" or "somewhat well," the AP-GfK poll found.
Seven percent of those polled said someone in their household had tried to sign up for insurance through the exchanges -- potentially 20 million people. But three-quarters of those who tried to sign up reported problems, the Associated Press reported Thursday.
The online poll of 1,227 adults was conducted Oct. 3-7, the news service said.
But unlike the highly publicized problems that have plagued the federal health exchange website created to help Americans register for insurance coverage, many state-run exchanges are operating well, according to published reports.
The reason for the disparity: the sprawling federal website has been overwhelmed by visitors and -- some experts contend -- hampered by faulty design and software. The state-run sites, by comparison, are much smaller and nimbler, and technicians can react quickly to fix problems that arise, The New York Times reported.
"Individual state operations are more adaptable," Alan Weil, executive director of the National Academy for State Health Policy, an independent nonpartisan group, told the newspaper. "That does not mean that states get everything right. But they can respond more quickly to solve problems as they arise."
Another difference that helps to explain the relatively smooth launch of the state-run exchanges: some states let consumers explore insurance options -- such as costs and the pros and cons of different policies -- without first having to create an online account. On the federal exchange, called HealthCare.gov, shoppers must first create an online account. And creating an online account has been a major stumbling block and source of frustration for many people trying to use the federal exchange, the Times reported.
Minnesota's health exchange is an example of a state-run exchange that is performing well, the newspaper said.
Robyn Skrebes of Minneapolis, who is 32 and had lacked insurance, said she signed up for health coverage in about two hours on Monday using the state-run website, MNsure. She said she purchased a policy for $179 a month, before tax credit subsidies, and also got Medicaid coverage for her 2-year-old daughter, the Times reported.
"I am thrilled," Skrebes said. "It's affordable, good coverage. And the website of the Minnesota exchange was pretty simple to use, pretty straightforward. The language was really clear."