that already manages health care programs for the state of Illinois, was chosen to operate the CountyCare program. Through CountyCare, people receive either Medicaid or insurance subsidies via the Affordable Care Act, which has come to be known as Obamacare. The Cook County Health and Hospitals System, which so far has enrolled more than 87,000 people in Medicaid through CountyCare, now either delivers care through its hospitals and clinics or directs patients to other qualified facilities. Under a new system that goes into effect July 1, the county also will essentially take on the role of an HMO, managing health services provided through CountyCare. Tens of thousands more people are expected to be accepted into CountyCare. Although the county will take on the financial risk of insuring patients, it is expected that the federal government will cover the entire cost of the five-year contract through Medicaid payments or health care subsidies under Obamacare, said Dr.