A Closer Look at Healthcare.gov’s Still-Unbuilt 30 Percent

There are three systems not yet built for the Obamacare website which are all related to how the government pays insurance companies: financial management, monthly enrollment reconciliation, and risk adjustment.

These three back-end systems make up the 30 percent of HealthCare.gov left to last as the government focuses on fixing the front end for consumers to enroll, according to a CMS official. The Centers for Medicare and Medicaid Services, the Health and Human Services agency tasked with the implementation of the federal exchange, sticks by its statement that the vast majority of users will be able to move through the online application process smoothly by Nov. 30, 2013. Their deadlines for the insurance companies aren't far on the horizon. The federal exchange does not need the three missing systems ready until 2014, but financial management was slated to be ready by November 2013, while monthly enrollment reconciliation and risk adjustment are scheduled to be completed in December and January, respectively, according to a CMS spokesperson.

(Nov 21)