How will the handful of remaining water-carriers possibly spin something this lame?

Taking sloppy to a whole new level.

Since the "back end" of the FHer-care infrastructure is, um, not even built yet, the regime's stopgap solution is to have insurance companies just kind of guess what they're owed in premiums, and the regime will cut them a check, and then there will be a time to "true up" later on.