Instead of meaning a payment pool against an expensive but improbable occurrence, it now means that PLUS an arbitrarily mandated menu of ongoing prepaid health services. If those are subsidized (and Medicaid is totally subsidized), so much the better for the sign-up statistics.
The Obamacare legislative crew seems to believe that if you sign people up for preventive care through Medicare, you will bend the cost-curve down because they'll be healthier, and because underpaid preventive care is cheaper than hospital emergency room care.
Based upon some other articles, people put their information into one of the Obamacare sites, and then plans are presented...unless you qualify for Medicaid, in which case it automatically signs you up without giving you a further choice.
I believe you mean Medicaid. There are reports that with the doctor shortage in some areas, inc. those that will not accept Medicaid patients, there will be waits of months before Medicaid patients can see a doctor. So much for preventive care.