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Medicare's Rollout vs. Obamacare's Glitches Brew
Timothy Jost, in Health Affairs Link to more items from this source
[Opinion]
Jan. 2, 2014

"[T]he exchanges won't actually pay any medical bills, just sign people up for coverage. So billions more in overhead costs will show up on the books of the private insurers and state Medicaid programs that will actually process medical claims. Back in 1966, Medicare started paying bills for 18.9 million seniors (99 percent of those eligible for coverage) just 11 months after Pres. Johnson signed it into law. Overhead costs for the first year totaled $120 million (equivalent to $867 million in 2013 ...). But that figure includes the cost of processing medical bills, not just the enrollment costs."

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