Software contractors who built the Patient Protection and Affordable Care Act federal exchange system defended their work at a raucous, standing-room-only House hearing Oct. 24 to allow Republicans an opportunity to cast Obamacare in the most negative light possible.

Both Florida and New York are reporting that their respective workers compensation reforms are having an impact, but officials in both states indicated that further changes, likely through additional legislation, are necessary.

The problem currently manifesting itself with the Department of Health and Human Services (HHS) health care marketplace, or exchange, is the result of an inherent management problemone that is also rampant in the P&C workers' compensation world.

A state appeals court upheld reforms contained within HB 119legislation signed into law by Gov. Rick Scott more than a year ago.