That fine should cover just the NEW people they threw into Medicare over the last two years for all of a week.
You mean Medicaid. In case you are interested, the average cost of a Medicaid policy averaged across all recipients in 2015 was $6,600 (NYT). However, providers of medical services often are reimbursed less than their costs of providing the service. Some of this (in the case of hospitals) is made up by other transfers from the federal government.