[Lou L]

Everything I’ve been hearing about what has been done, what has NOT been done, and what they are doing now tells me that at some point in the very near future they will be forced to revert to a manual process while maintaining the requirement that everyone enroll in the system

HealthCare.gov 2.0 will be an online form that if one is lucky, they'll be able to print or download, and send in the mail.

[Hieronymus]

The problem being that manual entry into the system and billing will be prone to error and time consuming as well—plus it will be relying on the U.S. postal service, which loses enough stuff to complicate matters. It also isn’t sexy enough, so I doubt that DC is capable of humbling itself that far.