Controlled chaos and business-as-usual appear to be the prevailing sentiments among industry experts when discussing the much-anticipated opening day of the public health care exchanges.

"When you implement large technology, things aren't perfect on day one," says John Kelly, principal business adviser with Edifecs, an exchange technology provider. "The fact that the requirements that the feds are spitting out were coming in almost in real-time as people were designing and building [the exchanges]... there's a lot that is going to be bare bones about the initial go-live."

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