Choo… choo!

(Reuters) – Obamacare is likely to have a “rocky” enrollment start on October 1 in some U.S. states, because of ongoing technology challenges facing new online health insurance exchanges, a leading expert told U.S. lawmakers on Tuesday.

“At this moment, not a single state appears to be completely ready,” W. Brett Graham of the Salt Lake City-based consulting firm Leavitt Partners said in testimony to a Republican-controlled oversight panel in the House of Representatives.

He said states should be capable of providing “baseline functionality” when enrollment begins in three weeks. But he cautioned about the potential for delays: “Most, if not all, exchanges will experience a rocky enrollment period as they work to overcome both known and unknown operational challenges.” …

Some states are having difficulty integrating exchange technology with existing Medicaid and other state systems, according to Graham, who said the results could include slow enrollment, delayed eligibility determinations and increased potential for fraud and abuse.

HT: Hot Air