The 33 States with Federal Exchanges Are Over a Year Behind Where They Need to be to Open

This is from Dr. John Goodman: 

• In states that have been aggressively setting up their own exchanges, there has been a great deal of back-and-forth communication between the exchange managers and the insurance companies to make sure everything works right. But in the 33 states where the federal government will be running things, there has been no communication at all.
• As far as the technical specs are concerned, the insurance companies need a lead time of about 15 months — 12 months to get their systems designed and about three months to beta test them. So the industry needed these specs from the federal government one year ago. They still don’t have them.