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IT Technology

HealthCare.gov Back-End Status: See You In September 251

theodp writes: "The consumer-facing parts of the Obamacare website may now work (most of the time) for people buying insurance, writes Politico, but beneath the surface, HealthCare.gov is still missing massive, critical pieces that are essential for key functions such as accurately paying insurers — and the deadline for finishing them keeps slipping. 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. The Obama administration earlier this month indicated that insurers will continue to be paid through an 'interim' accounting process — pretty much a spreadsheet and some informed estimates — until at least September, when what is being called 'the mother of all reconciliations' will be conducted, which some fear could reveal the need for a massive correction and rate adjustments. Still, Oregon decided Friday to switch to Healthcare.gov from its own nothing-wrong-that-$78-million-couldn't-fix Cover Oregon online healthcare exchange."
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HealthCare.gov Back-End Status: See You In September

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  • by Anonymous Coward on Saturday April 26, 2014 @06:06PM (#46849901)
    I guess I missed the memo, but isn't shitting on Obamacare last year's bugaboo? After you guys proclaimed that meeting the enrollment goal was impossible, you looked like complete morons when they exceeded it. Why double down on a losing hand?
  • by 140Mandak262Jamuna ( 970587 ) on Saturday April 26, 2014 @06:29PM (#46850051) Journal
    True, clueless politicians made last minutes changes like, "don't show them raw premium, sticker shock, make them do subsidy calculation first" a week before roll out. True, dimwitted bureaucrats gave out contracts with idiotic levels of fragmentation and blame-dodgeability. Obama raised expectations insanely by saying "as easy as buying books in Amazon..".

    But despite all of it, what the crack team of unsung IT gurus did in Nov 2013 is nothing less than heroic. How long did it take for the comparable services like Amazon, Hotmail, Yahoo, AOL, gmail, eBay etc to create 3 million accounts? OK, that is an earlier generation. Take the current generation of Twitter, WhatsApp, SnapChat, FaceBook, how long did they take to ramp up to 3 million accounts?

    Helathcare.gov is something like eBay for health insurance. How long did it take eBay to refer 32 billion dollars worth of business? (8 million accounts, 4 K a year premium per person). No body had done in two quarters. Even banking and mutual fund sites like Schwab, Vanguard, Fidelity do not do 32 billion dollars a year. Even if the do, they did not ramp up in 2 quarters.

    They bungled the roll out. They probably squandered tons and tons of money to get it done. But despite all that, no body has ever created a web site that did what Healthcare.gov has done. It is easy to criticize and do Monday morning quarterbacking. But the task they failed to well was not some simple task any hack could do or something others have done before.

  • by Jane Q. Public ( 1010737 ) on Saturday April 26, 2014 @06:58PM (#46850143)

    you missed the memo where administration claims 8 million plus subscribers, supposedly 2.7 million appeared out of nowhere after March to give us this 8M total

    And apparently you both missed the memo where those weren't paid subscribers, either, but supposedly the number who applied.

    So... Obama has decided to bypass even more of the law he helped shove down our throats and is now ignoring on a massive scale?

    Hint, Mr. President: you aren't a King. When you sidestep laws passed by Congress, you're a criminal. Even if it's your own pet law.

    (Or he would be, if the law were Constitutional in the first place. SCOTUS says it's a "tax"? Well, tax laws have to originate in the House. Obamacare didn't.)

  • by SylvesterTheCat ( 321686 ) on Saturday April 26, 2014 @07:43PM (#46850311)

    The administration has no idea :
    1. how many have insurance now that did not a year ago
    2. how many do not have insurance now that did a year ago
    3. how many that have insurance through the federal exchange have paid for it
    4. how many that have insurance through the federal exchange have a significantly higher rate and/or deductible than before

  • by Penguinisto ( 415985 ) on Saturday April 26, 2014 @08:02PM (#46850381) Journal

    I'm sure it has absolutely nothing at all to do with the fact that the last wave have until April 30th to pay...

    ...nor does it consider shenanigans like signing up jail inmates whether they want it or not [oregonlive.com], counting medicaid enrollees as obamacare signups [washingtonpost.com], and similar.

  • Re:Just another (Score:2, Insightful)

    by Q-Hack! ( 37846 ) * on Saturday April 26, 2014 @08:37PM (#46850517)

    As a Libertarian, I am going to have to side with the republicans on this one. The ACA is complete and utter crap. The fact that the backend of the website doesn't work is just the tip of the iceberg. But by all means, go ahead and continue to follow your elites and their welfare state agenda.

  • by Bartles ( 1198017 ) on Saturday April 26, 2014 @09:31PM (#46850697)
    Your "help" made my insurance unaffordable. Stop calling yourselves progressive. You're really totalitarian fascists. Progressive is newspeak.
  • by Anonymous Coward on Saturday April 26, 2014 @09:44PM (#46850749)

    It is a FACT, admitted by the Obama admin in testimony under oath before congress that [1] the backend of the website is not yet written, [2] the Obama administration has no solid numbers on how many people have paid (heck, they even said under oath that they did not have a count of people who'd "signed up" about a month before the deadline) and [3] that they are using estimates to pay insurers for now and will need to "settle-up" at some point. It's also true that insurance companies have started issuing warnings to congress, the administration, and some employers that they forsee a large rate increase for next year.

    So, given these facts..... what insane act of childish Obama meatpuppet rage causes you to claim this is "republican propaganda" "by the in house radical conservative trolls"? Are you saying that the Obama administration is part of some "vast right-wing conspiracy" to help Republican trolls with their talking points? I am simply mystified by the sheer incomprehensible mental flatulence that must be occurring in your locale. Are you truly claiming that reality is, in itself, a Republican troll talking point? Wow..... just sayin' .... that's really - out there.

  • by fyngyrz ( 762201 ) on Saturday April 26, 2014 @11:23PM (#46851041) Homepage Journal

    Someone might be naturally healthy, but the dumbass who ran the guy over with their humvee sadly wasn't informed of that. The scaffolding that fell on them wasn't informed either. The guy who prepared your hamburger with the same unwashed fingers he just wiped his ass with wasn't either, Mr. Healthy Guy.

    Your problem is that you have no sense of your own mortality. The "I'm bulletproof" argument is one only put forth by idiots. You have no idea what will happen next. None whatsoever. It's all a matter of odds and happenstance. Your idea that the young and healthy people are going to pay for everyone else... our kids are paying a lot less money for a lot more insurance than we're getting... it just isn't so. In some states, young people can get by with just catastrophic. So please, drop the pretense.

    And despite your presumption that you are "naturally healthy", eventually, the odds are very high that something will happen, and at that time you'll be expecting the rest of us to pay for it. We will. But you will too. Live with it. It's not really a bad thing, once you take reality into account.

  • by fyngyrz ( 762201 ) on Sunday April 27, 2014 @01:29AM (#46851437) Homepage Journal

    I've done this for you in the past. I'm not going to do it again

    No, I'm pretty sure you haven't. You've most likely confused me with someone else. Not a problem.

    I am required to subsidize your health care now

    Well. I am required to pay for highways that I never drive upon. I am required to pay for fire extinguishing services and I have never had a house fire. I am required to pay for public schools, even though I never sent a child there. I am required to pay for corporate subsidies, even though I am not in favor of these. I am required to pay for various war efforts, even though I am not only not in favor, but vehemently opposed to same. The idea that I might have to pay to improve someone else's health strikes me a a breath of fresh air. In fact, in a purely selfish way, I don't want to have people, far sicker than they need to be, running around and sharing the bounty of their personal microbial crops with me and mine. Nor am I in favor of them being out of work for any more time than required.

    Time for a little anecdote. Fairly recently, the lady and I went to McDonald's for a salad and some coffee. They took our order via the miked menu outside, then our money at window #1, and so we pulled up to window #2, where the food was to arrive. When they opened the window, those poor bastards (uninsured in any sense worth really talking about) collectively managed to do a marvelous impression of a final stage tuberculosis ward. I rolled up the winddow and we drove off without our food.

    When you talk about "now" having to subsidize the medical costs of others, let me just point out to you that when these uninsured types zip right down to the emergency room and consume medical services at a premium, while not getting actual decent care but instead, just getting stabilized, you pay for that just as directly via increased costs to the hospital that were "covered" by government grants, increases in the cost of our own medical needs, and higher insurance premiums to pay those higher medical costs, which in turn, you (and I, and everyone else) pay for. There's no free lunch. When people are sick or injured, it's going to cost. It's expensive and it is unevenly distributed, and it is best done in a manner that works to control the costs (prophilactic care, etc.) by pooling our resources and then expending them on a per issue basis, and preventative ones, and in the context of completely addressing problems with an appropriate course of therapy instead of just doing the minimum, or nothing.

    When you want to bitch about paying for everyone else's healthcare, to whatever extent that may be so, just remember, the better health the population is in, the better health you -- and yours, and the economy -- are are likely to be able to maintain. It's a fact, and there's no way around it.

    I am trying to build capital and wealth.

    Do you not understand that if you fall and break your leg, or catch something horrible, or develop chronic asthma, or cancer, or manage to detach a retina, or get burned really badly, that without insurance, your capital and wealth will evaporate like smoke on the windiest day you can imagine? I think you do, since you tell me you had insurance previously. Now I ask you: Would you want to have that happen to someone else? Seriously? When just by putting your shoulder to the same wheel the rest of us are trying to roll around, you can prevent it to some useful extent?

    My insurance went from $180 to $455 a month

    Ok. Delighted you're being forthcoming. Let's work it. If your new insurance is being delivered under the aegis of the ACA, then at $455/mo for your premium, you're paying $5460/year, and your income (after business deductions, if you're taking those) should be (at least) $54600, because under the ACA, no one has to pay more than 10% of their income unless t

  • by ganjadude ( 952775 ) on Sunday April 27, 2014 @09:23AM (#46852409) Homepage
    and who are you to make that decision? Some of us were happy with the plans you call crap. I thought if we liked our plans we could keep them, not if you like our plans we can keep them

VMS must die!