Reminder: Healthcare.Gov is still a hot mess, and the “8 million enrollees” figure probably needs some revision

posted at 5:31 pm on April 26, 2014 by Erika Johnsen

As I mentioned the other day, the Obama administration is falling all over itself trying to comply with all of its own deadlines and regulations for writing, completing, and rolling out the zillions of miniscule details of which the president’s crowning legislative achievement are composed — and that includes building some of the most crucial back-end parts of the federal exchange website. Via Politico:

The Obamacare website may work for people buying insurance, but beneath the surface, HealthCare.gov is still missing massive, critical pieces — and the deadline for finishing them keeps slipping.

As a result, the system’s “back end” is a tangle of technical workarounds moving billions of taxpayer dollars and consumer-paid premiums between the government and insurers. The parts under construction are essential for key functions such as accurately paying insurers. The longer they lag, experts say, the likelier they’ll trigger accounting problems that could leave the public on the hook for higher premium subsidies or health care costs. …

Without a fully built and operational system, federal officials can’t determine how many of the 8 million Obamacare sign-ups announced last week will have actually paid their premiums. They won’t even know how many enrollment attempts were never completed. That, in turn, could affect the amount of money the government spends on premium subsidies. And once the system finally does all come on-line, the data delays could force a sharp revision in that celebrated 8 million figure. …

Officials at CMS — the federal agency overseeing HealthCare.gov and new insurance exchanges — refused to provide an update on just how much of the back end remains incomplete, the current issues they face and their latest timetable….

Most Transparent Administration, Evah.

Of course, the Obama administration originally intended to have the entire thing up and running by the October-1st initial rollout, but we know how that ordeal went: They were so behind on putting together even just a functioning consumer-oriented front-end of the site that all hands on deck went to fixing that debacle, leaving all of this back-end stuff for later. I don’t think anybody will be the tiniest bit surprised to learn that the administration is still scrambling behind-the-scenes to put together some of the most necessary operative pieces of the program (because, “ObamaCare is working,” don’t’cha’ know), but here’s my question: How far over the prescribed budget is this poorly planned fail-fest taking us, exactly? The world may never know.


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the “8 million enrollees” figure probably needs some revision

“Some” revision? Erika’s mastering the art of understatement.

Rix on April 26, 2014 at 5:35 PM

forever to be known as Humpty Dumpty Care…

hillsoftx on April 26, 2014 at 5:43 PM

My behind has better working parts than this…this…gawd awful “crowning achievement”.

31giddyup on April 26, 2014 at 5:59 PM

As a top level expert in Medicare enrollment I can speak to this issue. No, I do not deal with Obamacare website enrollments but I know exactly what they do, it isn’t that much different.

There will continue to be talk about “backend” problems all year because, frankly, there are always “backend” problems. We are used to getting CMS files riddled with errors, we fix them, often with real humans on the phone. The payment systems are speaking with each other but not all plans are working as well as others. Like Obama, insurance companies are used to making it look like it’s working smoothly on the outside while everything’s FUBAR inside the machine.

There will be no mass loss of memberships and this will have ZERO effect on the actuarial decisions that go into rates. Mark Bertolini of Aetna, who has always been a big skeptic on the ACA, spoke to the quarter million new members they brought on through the exchange in his quarterly earnings call this past thursday. He was surprised at how well it had gone and expects a lot more growth in this calendar year. Expect more big and little plans to jump into the exchanges more aggressively in 2015 with some aggressive pricing that may bring rate down in many markets that right now are only handled by 1 or 2 companies. Rural customers will benefit the most.

Sorry to rain good news on you all.

RockRib on April 26, 2014 at 6:01 PM

put hilary in charge she fix things until she presidant

dale1 on April 26, 2014 at 6:03 PM

Without a fully built and operational system, federal officials can’t determine how many of the 8 million Obamacare sign-ups announced last week will have actually paid their premiums. They won’t even know how many enrollment attempts were never completed. That, in turn, could affect the amount of money the government spends on premium subsidies. And once the system finally does all come on-line, the data delays could force a sharp revision in that celebrated 8 million figure. …

Kyle Cheney – politico.com on April 25, 2014 at 6:01 PM EDT

.
Yeahhh . . . . .anyone want to place a bet on just how “sharp”?
.
I wonder if ‘Vegas has a line on this.

listens2glenn on April 26, 2014 at 6:04 PM

Then: “You’ll have to pass it to see what’s in it.”

Now: “We’ll have to fix it to see if anyone’s paid for it.”

fogw on April 26, 2014 at 6:11 PM

Sorry to rain good news on you all.

RockRib on April 26, 2014 at 6:01 PM

.
BS . . . . . Barbra Streisand
.
Did anyone save a link to Key West Reader‘s story about her husband? … It’s not the only example of ACA failure, but it’s a damn passionate one. The two of you ought to get together.
.
The Insurance industry had fewer problems before government intervention.

listens2glenn on April 26, 2014 at 6:12 PM

RockRib on April 26, 2014 at 6:01 PM

Health insurance does not guarantee health care.

Hi. I work on the healthcare side, and I can tell that due to the shift in payer mix on reimbursement rates, what’s going on with the backside of the HIX is the least of our worries.

lineholder on April 26, 2014 at 6:17 PM

the “8 million enrollees” figure probably needs some revision

Georgia says that only 48% of the 221,604 who enrolled through March 31 have paid their premiums. And in South Carolina, only 59% of the 114,789 who enrolled through April 15 had done so.

lynncgb on April 26, 2014 at 6:18 PM

The Republicans should be saying outright that the administration is lying until proven truthful. But of course they won’t.

PersonFromPorlock on April 26, 2014 at 6:19 PM

Thank YOU, John Roberts!

ladyingray on April 26, 2014 at 6:21 PM

Why are we debating this?

Sven on April 26, 2014 at 6:28 PM

Anyone here really think RockRib really cares if this ‘coverage’ translates into care?

CW on April 26, 2014 at 6:30 PM

Anyone here really think RockRib really cares if this ‘coverage’ translates into care?

CW on April 26, 2014 at 6:30 PM

Nope. Nope. Nope.

31giddyup on April 26, 2014 at 6:35 PM

hilary smart enough to fix this

dale1 on April 26, 2014 at 6:35 PM

Numbers are all imaginary to Dems. 17 trillion means nothing as long as you have a dime in your pocket. A dime is 9 cents too many. Hell, they’ll just keep on printing money til it’s good as monopoly money. And when that time comes, the Dems will blame the right anyways. Si, mahalo Juan Robertos!

racquetballer on April 26, 2014 at 6:36 PM

Dems don’t debate diddly. They think it, so it must be just and true. Cram it through Congress, don’t care if it fails 50 years down the road. They’ll be long gone by then.

racquetballer on April 26, 2014 at 6:41 PM

Anyone here really think RockRib really cares if this ‘coverage’ translates into care?

CW on April 26, 2014 at 6:30 PM

If RockRib is a Liberal….then yeah, he/she probably really believe that. Most of them do. They think it’s automatic. Get health insurance and !!!BOOM!!!, you are automatically guaranteed access to health care.

lineholder on April 26, 2014 at 6:42 PM

Sorry to rain good news on you all.

RockRib on April 26, 2014 at 6:01 PM

It’s one thing for private industry to screw us over, quite another when the government does it eh!

racquetballer on April 26, 2014 at 6:47 PM

Sorry to rain good news on you all.

RockRib on April 26, 2014 at 6:01 PM

Were they able to keep their prior plan? Doctor? Hospital? Premiums go down by $2500?

Additional enrollees, many having no option, does not speak for health care satisfaction.

hillsoftx on April 26, 2014 at 6:49 PM

They won’t even know how many enrollment attempts were never completed.

Or how many enrollment attempts were counted as “sign-ups”? I’ll bet there are many thousands of people who have been counted multiple times.

forest on April 26, 2014 at 6:54 PM

As a top level expert in Medicare enrollment I can speak to this issue.
 
RockRib on April 26, 2014 at 6:01 PM

 
RockRib, I need your expert input on something, please.
 

“So that’s why the individual mandate’s important,” Obama explained in a speech on Aug. 15, 2011.

“Because the basic theory is, look, everybody here at some point or another is going to need medical care, and you can’t be a free-rider on everybody else,” said Obama. “You can’t not have health insurance, then go to the emergency room, and each of us, who’ve done the responsible thing and have health insurance, suddenly we now have to pay the premiums for you. That’s not fair. So, if you can afford it, you should get health insurance just like you get car insurance.”

http://abcnews.go.com/m/blogEntry?id=14952502&sid=77&cid=77

 
In 2017 the tax/penalty/fine will reach it’s maximum of 2.5% of income.
 
A person making the U.S. average $43K/yr who chooses to continue free-riding will pay $1075 (vs. thousands in premiums and deductibles), and $1075 will barely cover any hospital procedures beyond check in.
 
Hospitals will still be required by law to provide care regardless of insurance coverage or ability to pay.
 
Can you explain how Obamacare does anything to change the free rider problem?
 
Give us specifics, please.

rogerb on April 26, 2014 at 6:59 PM

It should be fully functional around about the time that the Soviets get Gosplan up and running.

kcewa on April 26, 2014 at 7:01 PM

Or how many enrollment attempts were counted as “sign-ups”? I’ll bet there are many thousands of people who have been counted multiple times.

forest on April 26, 2014 at 6:54 PM

Yes, we know from reported experiences of those that tried to sign up, and admissions from (piece-of-crap) Obamacare ‘navigators’ that the most common means of dealing with the crappy website was to abandon an ID/password and start all over again.

Many thousands have been counted multiple times, or were counted before they even got to the pages to make the first payment. Many customers went there to look at the final prices, and for some reason didn’t want to pay that amount. They were counted too.

slickwillie2001 on April 26, 2014 at 7:01 PM

meh…
I’m not buying what the Aetna big whig and Rockrib are saying. The Aetna fellow is under tremendous pressure to reassure his shareholders that all will be (reasonably) well. He will therefor put positive spin on this thing in any way they can.
As for the variation in premiums, that will be based on the mix of patients they get, not on whether or not the website, front or backend, works as advertised.
And the idea that companies are going to jump into the market with the levels of uncertainty in terms of patient mix, legal cloudiness, and arbitrary adjustments by the administration just strikes me as WAY to optimistic.
My expectation is that we are about to see another wave of cancellations when the employer mandate hits (if the administration doesn’t delay it again). There will also be premium spikes as the patient mix turns out to be less favorable than desired. Then access problems will worsen as more and more doctors are excluded from the networks, or simply refuse to take the plans due to inadequate payments.
More later…but I’m just not buying this.

Doc Holliday on April 26, 2014 at 7:02 PM

Georgia insurers received more than 220,000 applications for health coverage in the Affordable Care Act’s exchange as of the official federal deadline of March 31, state officials said Wednesday.
 
Insurance Commissioner Ralph Hudgens, though, said premiums have been received for only 107,581 of those policies, which cover 149,465 people.
 
http://www.georgiahealthnews.com/2014/04/georgia-exchange-applications-hit-220000/#sthash.gRIuiM5p.dpuf

 
I doubt it’s much of a stretch to figure that Obama’s 8 million number is really 2-4 million tops.

rogerb on April 26, 2014 at 7:06 PM

the “8 million enrollees” figure probably needs some revision

The actual number of enrollees is well under 1 MILLION, so yeah, a slight “revision” is in order.

Pork-Chop on April 26, 2014 at 7:09 PM

BTW:
 

Almost all of those policies’ purchasers will receive a federal subsidy to afford the coverage, Hudgens’ office said.
 
The number of Georgians who have applied is still far short of the estimated 650,000 who are eligible for subsidies in the health insurance exchange.
 
http://www.georgiahealthnews.com/2014/04/georgia-exchange-applications-hit-220000/#sthash.gRIuiM5p.8f8suq56.dpuf

 
They only got 33% of those estimated to apply (vs. enroll). Only 16% of the estimated 650K enrollment paid/actually enrolled. Using those numbers, actual Obamacare enrollment is less than 1.5M.
 
Notice also that those are folks who are eligible for subsidies, and they’re STILL not buying it.
 
I’m very interested in your free-rider response, RockRib.

rogerb on April 26, 2014 at 7:12 PM

Sorry to rain good news on you all.

RockRib on April 26, 2014 at 6:01 PM

Perhaps you misunderstand conservatism, RockRib. I don’t care if it’s the best system ever invented and it works with *zero* errors.

This is not, has never been, and will never be a proper function of the Federal government. I do not, have never, and will never want this to be a governmental function.

Lance Corvette on April 26, 2014 at 7:15 PM

Redistribution of wealth is just morally wrong. Concentration of excessive power at the federal level violates the Constitution. If you can’t agree on this much, then we’re all effed. The Bundy incident is just the beginning. There should be no debate about closing the border. It’s all about future votes. Closing the border keeps everybody out that’s not crossing legally, not just Hispanics. Close the damn border first, then we’ll talk about who’s here illegally. Congress can’t even do that much. It’s truly depressing and disgusting. Our laws mean nothing if you can change them on the fly with the stroke of a pen.

racquetballer on April 26, 2014 at 7:21 PM

I doubt it’s much of a stretch to figure that Obama’s 8 million number is really 2-4 million tops.

rogerb on April 26, 2014 at 7:06 PM

The actual number of enrollees is well under 1 MILLION, so yeah, a slight “revision” is in order.

Pork-Chop on April 26, 2014 at 7:09 PM

The number of those that were previously uninsured is a tiny fraction of the totals.

It’s time to admit that the uninsured are uninsured because they want to be uninsured.

slickwillie2001 on April 26, 2014 at 7:22 PM

I’ll bet there are many thousands of people who have been counted multiple times.

forest on April 26, 2014 at 6:54 PM

Investors Business Daily

2.7 Million ObamaCare Enrollees Still Unaccounted For

One broker said that in the last month his company was encouraged to simply start a new application if something went wrong during the process, so as to speed things up. He figures 30% of the ObamaCare applications his firm handled in the home stretch were duplicates.

Did these get counted in the final tally?

lynncgb on April 26, 2014 at 7:24 PM

Using those numbers, actual Obamacare enrollment is less than 1.5M.
 
rogerb on April 26, 2014 at 7:12 PM

The number of those that were previously uninsured is a tiny fraction of the totals.
 
It’s time to admit that the uninsured are uninsured because they want to be uninsured.
 
slickwillie2001 on April 26, 2014 at 7:22 PM

 
+1. I forgot that they’re counting the folks that had and lost insurance BECAUSE of Obamacare as positives.
 
Maybe half a million unique and previously-uninsured Obamacare enrollees? That’s counting children so that one insurance purchase counts as four enrollees, of course.

rogerb on April 26, 2014 at 7:29 PM

Doc Holliday on April 26, 2014 at 7:02 PM

Have you heard anything about reimbursements being delayed beyond the norm?

lineholder on April 26, 2014 at 7:34 PM

Speaking from the perspective of one who was a Medicaid caseworker until recently, my question is whether the people who are new to having medical coverage will behave like regular consumers or whether they will behave like Medicaid recipients.

There is a program in my state–I assume the other states have their equivalent–that provides very good medical coverage for people who work and have either some sort of disability or need a certain medication on a regular basis to remain healthy. In other words they access their healthcare on an ongoing basis, not just occasionally. Once it is opened for them, they are required to pay a premium that is 5% of their income only…in other words, the wife’s premium would not be based on her husband’s income. In spite of the fact that the premium is extremely low–I think the highest premium I ever saw was $67/month–and the recipients really need the coverage, there is a considerable amount of failing to keep up with these premiums. Then the caseworkers close the coverage, the clients pay up their premiums and call and beg to be reopened as soon as humanly possible. Some clients will repeat this cycle over and over again.

What happens when people who have no great need for medical coverage, don’t see a doctor regularly or get prescriptions, have a bill each month costing hundreds of dollars? It seems very likely to me that there will be many people who pay the first month or so and then stop sending their checks. People who were motivated to get medical coverage on their own before the ACA would seem to me to be more likely to keep up with premiums than those who have been forced into it by law.

We will see.

Clemence on April 26, 2014 at 7:38 PM

Sorry to rain good news on you all.

RockRib on April 26, 2014 at 6:01 PM

Perhaps you misunderstand conservatism, RockRib. I don’t care if it’s the best system ever invented and it works with *zero* errors.

This is not, has never been, and will never be a proper function of the Federal government. I do not, have never, and will never want this to be a governmental function.
Lance Corvette on April 26, 2014 at 7:15 PM

Thank you Lance. In a way I agree with you, especially since managed healthcare has put bread on my table for 30 years. I don’t have answers on what happens to those who elect not to buy coverage or provider pay mixes because I really don’t care, providers are leaches just as brokers are leaches and I frankly, am a leach on the health needs of this country. I just didn’t want people coming here and being misled. This system is how people will buy insurance from now until someone else rams through single payer (pray I am retired by then). More and more BIG corporations are going to start dropping insurance and giving employees a lump benefit. When the SHOP business site finally makes it online insurance brokers will be put out of business. I expect 50% of the population to be either in an expanded medicaid or Tricare or an Exchange policy within 10 years.

But make no mistake, it isn’t going to collapse on itself. It is working exactly as it was planned to do.

RockRib on April 26, 2014 at 7:44 PM

so RockRib is just another lefty troll dressed up in an ‘expert suit’.

Aetna expects to add about 450,000 paying customers this year through the exchanges, and company officials said the risk of that business appears to be manageable so far, although they cautioned that they still don’t have a good sense for what types of claims these customers will generate.

“It has been kind of in the neighborhood of our expectations,” Chief Financial Officer Shawn Guertin said, adding that the company still expects a “modest loss” this year from its exchange coverage, a small slice of its overall business.

as one of the climate-mongers said, you have to cherry pick data to make a cherry pie…right Rock?

if you actually look at the reports, they also lost customers in the individual market….oh, and they pulled out of some staets…and oh….they will have single and double digit increases next year.

yay Rock!…way to go…hit and run. Businesses will try to make money in any environment…but in this one, the good policies are subsidizing the bad policies…but that’s only fair, right Rock?

r keller on April 26, 2014 at 7:50 PM

Eighdy gazillion enrollees!!!

trs on April 26, 2014 at 7:53 PM

WHAT IS THE CUSTOMER ACQUISITION COST OF THE ACA? (in 120 words)

Need to know:
1. Number of NEW customers?
2. Cost from conception to date?

PROBLEM: No ones talking only guessing.

TOOL: A decision matrix. From the least to the most acceptable.
1. New customers 3.5M (uninsured that got insurance) – 8M (Obamas number).
2. Total cost $3T-$7T YTD and counting.

Acquisition Costs at 3.5M is from a low of $857,000 to a high of $2M.
Acquisition Costs at 8M is from a low of $375,000 to a high of $875,000.

Does not include any sustaining cost to maintaing these individuals or the future costs to correct errors in the system.

TO EXPENSIVE, MUST BE A BETTER WAY.

jpcpt03 on April 26, 2014 at 7:58 PM

TO EXPENSIVE, MUST BE A BETTER WAY.

jpcpt03 on April 26, 2014 at 7:58 PM

And the government’s better way is to tax us more more more! Taxpayers have infinite money in their minds.

racquetballer on April 26, 2014 at 8:05 PM

But make no mistake, it isn’t going to collapse on itself. It is working exactly as it was planned to do.

RockRib on April 26, 2014 at 7:44 PM

managed care…oh goody. I remember the HMOs. Capitation wasn’t real popular. Neither was the idea of showing up and talking to one Doc after another. As with most liberal ideas, they’ve been tested and shown to fail.
.
NHS is no utopia…and i guess the PHX VA isn’t either.

here’s our future. Community hospitals become the giant HMO…the hub. You and your Doc are all connected to that hospital.

and not likely…unless you got friends in government, getting out of that hospital to see someone at a university hospital. All determined by geography…just like the public schools.

and the left will fight tooth and nail against private schools…well, except for upper class people

r keller on April 26, 2014 at 8:09 PM

“revised”…. like the quarterly GDP estimates?
C’mon people… Can we really trust any numbers anymore? Sad…

tstar44 on April 26, 2014 at 8:13 PM

Doc Holliday on April 26, 2014 at 7:02 PM

Have you heard anything about reimbursements being delayed beyond the norm?

lineholder on April 26, 2014 at 7:34 PM

Not yet, at least not around here. I have heard cases from other states. What is happening is that people get to the doctor and/or hospital and find that they do not have coverage, even though they thought they did. Therefor payments aren’t delayed, because their is no insurance to pay them.

Doc Holliday on April 26, 2014 at 8:14 PM

Doc Holliday on April 26, 2014 at 8:14 PM

Then maybe it’s just in my state. We’ve got some delays in reimbursement beyond the norm.

Medicare is…well, you know how Medicare, running two years in the arrears for big facilities. They’re starting to lag on private practice now. So are other third party payers. Private health insurance companies are saying it was necessary to mitigate risks.

Some of the docs can’t afford having the risk shifted to them in form of cash flow restrictions.

I know of three shutting down before June 1.

lineholder on April 26, 2014 at 9:23 PM

As a top level expert in Medicare enrollment I can speak to this issue. No, I do not deal with Obamacare website enrollments but I know exactly what they do, it isn’t that much different.

There will continue to be talk about “backend” problems all year because, frankly, there are always “backend” problems. We are used to getting CMS files riddled with errors, we fix them, often with real humans on the phone. The payment systems are speaking with each other but not all plans are working as well as others. Like Obama, insurance companies are used to making it look like it’s working smoothly on the outside while everything’s FUBAR inside the machine.

There will be no mass loss of memberships and this will have ZERO effect on the actuarial decisions that go into rates. Mark Bertolini of Aetna, who has always been a big skeptic on the ACA, spoke to the quarter million new members they brought on through the exchange in his quarterly earnings call this past thursday. He was surprised at how well it had gone and expects a lot more growth in this calendar year. Expect more big and little plans to jump into the exchanges more aggressively in 2015 with some aggressive pricing that may bring rate down in many markets that right now are only handled by 1 or 2 companies. Rural customers will benefit the most.

Sorry to rain good news on you all.

RockRib on April 26, 2014 at 6:01 PM

Medicare has been in existence for quite a while now, and has multiple contractors building software systems to handle electronic billing and payment.

I’m not buying that healthcare.gov is ‘pretty similar.’ This web site was built in a big rush and links into not one, but multiple independent insurance companies. The front-end was broken for months, and is probably still broken badly behind the scenes. Of course, they don’t have the multiple backend systems working. The bugs in existing Medicare contractor systems notwithstanding, healthcare.gov is a completely different scale of broken.

It would be folly to assume that the healthcare.gov back ends are no worse than any other. When the front ends went live, they were horribly broken, and it was admitted that work on a lot of the backends hadn’t even started.

Promises of ‘good news’ are no more credible than the claim of 7 million enrollees. The left is desperate to bury all bad news about Obamacare.

On top of all that, the initial company that created healthcare.gov lost the contract long before the system was corrected, and that inevitably means that the new company will have a long period of time where they’re trying to absorb the current code base before they can fix it.

Assuming they’re more competent than the original company.

In fact, I would be very surprised if the backends were comparable to existing Medicare back ends six months from now.

Which leads me to:

Ed –
You mean the websites aren’t working perfectly on day one two three four five six seven eight nine ten eleven twelve thirteen fourteen fifteen sixteen seventeen eighteen nineteen twenty twenty-one twenty-two twenty-three twenty-four twenty-five twenty-six twenty-seven twenty-eight twenty-nine thirty thirty-one thirty-two thirty-three thirty-four thirty-five thirty-six thirty-seven thirty-eight thirty-nine forty forty-one forty-two forty-three forty-four forty-five forty-six forty-seven forty-eight forty-nine fifty fifty-one fifty-two fifty-three fifty-four fifty-five fifty-six fifty-seven fifty-eight fifty-nine sixty sixty-one sixty-two sixty-three sixty-four sixty-five sixty-six sixty-seven sixty-eight sixty-nine seventy seventy-one seventy-two seventy-three seventy-four seventy-five seventy-six seventy-seven seventy-eight seventy-nine eighty eighty-one eighty-two eighty-three eighty-four eighty-five eighty-six eighty-seven eighty-eight eighty-nine ninety ninety-one ninety-two ninety-three ninety-four ninety-five ninety-six ninety-seven ninety-eight ninety-nine one hundred one hundred one one hundred two one hundred three one hundred four one hundred five one hundred six one hundred seven one hundred eight one hundred nine one hundred ten one hundred eleven one hundred twelve one hundred thirteen one hundred fourteen one hundred fifteen one hundred sixteen one hundred seventeen one hundred eighteen one hundred nineteen one hundred twenty one hundred twenty-one one hundred twenty-two one hundred twenty-three one hundred twenty-four one hundred twenty-five one hundred twenty-six one hundred twenty-seven one hundred twenty-eight one hundred twenty-nine one hundred thirty one hundred thirty-one one hundred thirty-two one hundred thirty-three one hundred thirty-four one hundred thirty-five one hundred thirty-six one hundred thirty-seven one hundred thirty-eight one hundred thirty-nine one hundred forty one hundred forty-one one hundred forty-two one hundred forty-three one hundred forty-four one hundred forty-five one hundred forty-six one hundred forty-seven one hundred forty-eight one hundred forty-nine one hundred fifty one hundred fifty-one one hundred fifty-two one hundred fifty-three one hundred fifty-four one hundred fifty-five one hundred fifty-six one hundred fifty-seven one hundred fifty-eight one hundred fifty-nine one hundred sixty one hundred sixty-one one hundred sixty-two one hundred sixty-three one hundred sixty-four one hundred sixty-five one hundred sixty-six one hundred sixty-seven one hundred sixty-eight one hundred sixty-nine one hundred seventy one hundred seventy-one one hundred seventy-two one hundred seventy-three one hundred seventy-four one hundred seventy-five one hundred seventy-six one hundred seventy-seven one hundred seventy-eight one hundred seventy-nine one hundred eighty one hundred eighty-one one hundred eighty-two one hundred eighty-three one hundred eighty-four one hundred eighty-five one hundred eighty-six one hundred eighty-seven one hundred eighty-eight one hundred eighty-nine one hundred ninety one hundred ninety-one one hundred ninety-two one hundred ninety-three one hundred ninety-four one hundred ninety-five one hundred ninety-six one hundred ninety-seven one hundred ninety-eight one hundred ninety-nine two hundred two hundred one two hundred two two hundred three two hundred four two hundred five two hundred six two hundred seven two hundred eight
verbaluce on October 1, 2013 at 10:18 AM

There Goes the Neighborhood on April 26, 2014 at 9:39 PM

I’ll bet there are many thousands of people who have been counted multiple times.

forest on April 26, 2014 at 6:54 PM

this is the same way the voting machines are union repaired.

MrMoe on April 26, 2014 at 9:51 PM

RockRib on April 26, 2014 at 6:01 PM

“As a top level expert in Medicare enrollment I can speak to this issue”. I am 100% certain that you are not… You just spouted lies… Now go back and waiter the tables…

mnjg on April 26, 2014 at 10:21 PM

RockRib on April 26, 2014 at 6:01 PM

“As a top level expert in Medicare enrollment I can speak to this issue”. I am 100% certain that you are not… You just spouted lies… Now go back and waiter the tables…

That’s fine. Believe what you want. But when a health insurance CEO (Bertolini, not me) who’s co. is in only 14 states tells you that they’ve picked up 240,000 members and expect that number to be 450,000 by the end of the year… don’t be surprised when Obamacare becomes the vendor of choice for the “makers” in this industry.

Oh, and believe Romney won Ohio while you’re at it.

RockRib on April 27, 2014 at 12:21 AM

Officials at CMS — the federal agency overseeing HealthCare.gov and new insurance exchanges — refused to provide an update on just how much of the back end remains incomplete, the current issues they face and their latest timetable…

I wish the problem was resistance or obstruction on the part of CMS. But, I fear the truth is far worse…. that they don’t know the answer.

IndieDogg on April 27, 2014 at 2:06 AM

Whenever I hear anyone describe themselves as a “top level expert” on anything, my first thought (and the first thought of many) is Bull…Sh1t. Anyone who is a true expert in their field does not need to blow their own horn. They let their performance speak for itself.

But, since you said it, RockRib, now we at HotAir have someone who we can “thank” for the debacle of Obamacare. It was “experts” like you who bought into the garbage that other “experts” like Zeke Emmanuel has been spouting, probably rubbing your hands together in glee at the profits you would reap at the country’s expense.

How’s that working out for you?

Please tell me, why didn’t you “experts” speak up loudly and clearly when Obama was lying constantly to the American people? I don’t think I even need to list the lies, they were so egregious and widely trumpeted. Why?

Why don’t you speak up as he CONTINUES TO LIE to us?

I guess it’s because you are, like your compadres, a self-described leech on the healthcare system.

Why don’t you “experts” give the American people the real story? I’m sure you have the numbers of REAL enrollees. Why are they such a secret?

Finally, you say that “don’t be surprised when Obamacare becomes the vendor of choice for the “makers” in this industry.” I guess when you say that, you expect us to roll over and die. You said it. It must be true.

Well, just like all historical events, nothing is set in stone as it happens. History sometimes gives a false impression that events are fated to end up with only one result. On the contrary, Obamacare can go a couple of ways. Your way. That is, the way of “well, it’s here now, it’s working okay, so you’ll never be able to change it.”

Go along to get along. Sounds like a lot of the bureaucrats I have worked with in my government career.

Or our way. Repealing it and getting the federal government out of our knickers and bringing about REAL reform to fix health care.

NavyMustang on April 27, 2014 at 6:14 AM

Rural customers will benefit the most.

Sorry to rain good news on you all.

RockRib on April 26, 2014 at 6:01 PM

lol

Murphy9 on April 27, 2014 at 8:00 AM

Rural customers will benefit the most.

Sorry to rain good news on you all.

RockRib on April 26, 2014 at 6:01 PM

If by “benefit” you mean that there won’t be a doctor willing to staff outlying satellite offices anymore because it will cost them more to provide the service than what they are paid, then yes, rural customers will love it!

Cost is not the issue, accessibility is. This is the problem with top down planning. What works in the cities does not necessarily work outside the cities. It would be great if your well-priced insurance covered your healthcare costs, but when you have to drive 2 hours to avail yourself of that care, what good is it?

And since we know that more healthcare dollars are spent on older Americans, who is going to volunteer to drive the elderly to their appointments? Maybe the government can dream up a new program to enlisted the unemployed college graduates for this onerous task. Yes, we definitely need more government help to organize us! /

2L8 on April 27, 2014 at 9:47 AM

Sorry to rain good news on you all.

RockRib on April 26, 2014 at 6:01 PM

Yeah, good news. I work for a surgeon in private practice and he says we are experiencing the most significant slow down in business he’s had ever. Our practice focuses mostly on surgeries for incontinence and pelvic organ prolapse, which are true medical problems but the surgeries themselves are considered elective. The sticker shock from the new, higher deductible plans that everyone is facing, even those who are on employer plans that technically haven’t been affected yet, has caused people to delay surgeries and other needed care.

We practice in an area that is surrounded by rural counties and patients come to us from very long distances. Sorry to burst your happy bubble, Rock, but rural patients are experiencing the very same issues as the rest of us. Healthcare is becoming more expensive and less accessible under Obamacare.

Ironically, my boss, along with all the other physicians I work with, voted enthusiastically for Obama but he is now roundly cursing Obamacare. They were all caught up in the Obamassiah movement and didn’t really look at what they were voting for. Every time he rants, I am so tempted to say, “I told you so” but I want to keep my job, so I don’t.

inmypajamas on April 27, 2014 at 10:19 AM

Having insurance is not the same thing as having health care. I work for a multi-national in the medical imaging field (not G.E.). Already, I see sites cutting clinical staff and allocating those employee dollars to administration to handle the changes in paperwork and such. As the new regulations continue to roll out I am seeing my clients shutting practices rather than deal with further reduced payments and increased paperwork. I suspect that within 10 years, the only places to have any imaging or diagnostic testing done will be at full scale hospitals. That will lead to less services, longer wait times, and higher fees.

BamaXray on April 27, 2014 at 10:28 AM

The betting public believes less than a million have paid anything. That is why the WH is not giving out accurate numbers. Will fail on it’s own soon.

Amazingoly on April 27, 2014 at 12:35 PM

PROBABLY a mess???

Healthcare.gov only offers the possibility of subsidy in exchange for the certainty of identity theft!!

Besides the usual cabal of Internet scammers due to totally inadequate security, all healthcare.gov users are now subject to identity theft by the IRS for persecution of dissenters and other activities not authorized by any law.

This web site should be completely shut down until it can pass independent security scans and organizational security testing (aka PCI certification): the same testing which all other web sites must pass in order to accept credit cards over the internet.

This certification probably will never happen because the “organization” (the federal government) would have to have a written plan for security which conforms to PCI standards, a written plan for controlling access to sensitive information, and a written plan for maintaining security which includes the names of the persons responsible. This is not possible in an Obamacracy.

landlines on April 27, 2014 at 2:59 PM

Sorry to rain good news on you all.

RockRib on April 26, 2014 at 6:01 PM

Have you heard the one about the Obamacare bureaucrat who got married three years ago?

He’s still telling his wife how great their wedding night is going to be!

landlines on April 27, 2014 at 3:47 PM

I can’t believe nobody’s commented on abortion and the numbers from the report yet (or did I miss something)? Isn’t this something glaringly hypocritical? Yeah, I know, I know; it’s nothing new with the Obama administration. But this just seems so wrong. Either you count them as babies or you don’t- how in the world can even a brainwashed “pro-choice” PP nut job defend this?

ImmigrantsWife on April 29, 2014 at 1:58 PM