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The federal government has failed to properly monitor enrollee eligibility for Obamacare, according to a report by the Government Accountability Office (GAO) As a result, the government has made billions of dollars in Obamacare subsidy payments to individuals that may have been committing fraud.
As the report notes, the system used by the Centers for Medicare and Medicaid Services (CMS) relies on data sent by three government agencies – the IRS, SSA, and DHS – to check eligibility for Obamacare. However, the system used by CMS is unable to verify many inconsistencies in the data.
This inability to properly verify enrollment has meant billions of dollars have been sent out to enrollees without verifying whether the applicants were fraudulent. As the report notes:
originally posted by: Granite
originally posted by: Gryphon66
a reply to: xuenchen
How much fraud has actually been discovered again?
That seems like a significant fact to know.
I would ask my doctor what his estimate is of total fraud...but I can't keep my doctor nor my insurance plan.
ATR was founded in 1985 by Grover Norquist at the request of President Reagan.
originally posted by: YouSir
a reply to: Gryphon66
Ummm...all of the fraud...silly...not Obama care...we all know there's WAY more fraud...err...corruption to be had than...why...all the bean counters could ever possibly unravel in your lifetime...
Quit with the perpetual obstinate contrarianism...already...it's getting dated...
CMS has not performed a comprehensive fraud risk assessment—a recommended best practice—of the PPACA enrollment and eligibility process. Until such an assessment is done, CMS is unlikely to know whether existing control activities are suitably designed and implemented to reduce inherent fraud risk to an acceptable level.
GAO makes eight recommendations, including that CMS consider analyzing outcomes of the verification system, take steps to resolve inconsistencies, and conduct a risk assessment of the potential for fraud in Marketplace applications.
The Department of Health and Human Services concurred with GAO’s recommendations.
(And uuummm ... I'll post as I wish within T&C thanks ... personal comments are out of place.)
Phony applicants that investigators signed up last year under President Barack Obama's health care law got automatically re-enrolled for 2015. Some were rewarded with even bigger taxpayer subsidies for their insurance premiums, a congressional probe has found.
The nonpartisan Government Accountability Office says 11 counterfeit characters that its investigators created last year were automatically re-enrolled by HealthCare.gov, even though most had unresolved documentation issues. In Obama's terms, they got to keep the coverage they had.