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originally posted by: Gryphon66
So, rather than "a failure of Obamacare" as touted ... this seems a lot like a story of "problem found, problem resolved" ...
HHS said it will outline its new verification rules on HealthCare.gov and ratchet up language ...
www.washingtontimes.com...
originally posted by: burntheships
originally posted by: Gryphon66
So, rather than "a failure of Obamacare" as touted ... this seems a lot like a story of "problem found, problem resolved" ...
Rhetoric on the part of HHS. Problem is not solved until all of the fraudulent
money paid out by the Government and States is recovered!
No recovery, no fix!
Obama Care is the biggest scam of all time.
Medicaid in the United States is a social health care program for families and individuals with low income and limited resources. The Health Insurance Association of America describes Medicaid as a "government insurance program for persons of all ages whose income and resources are insufficient to pay for health care".[1]
The Emergency Medical Treatment and Active Labor Act (EMTALA)[1] is an act of the United States Congress, passed in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA). It requires hospital Emergency Departments that accept payments from Medicare to provide an appropriate medical screening examination (MSE) to individuals seeking treatment for a medical condition, regardless of citizenship, legal status, or ability to pay. There are no reimbursement provisions. Participating hospitals may not transfer or discharge patients needing emergency treatment except with the informed consent or stabilization of the patient or when their condition requires transfer to a hospital better equipped to administer the treatment.[1]
The Patient Protection and Affordable Care Act (PPACA), commonly called the Affordable Care Act (ACA) or, colloquially, Obamacare, is a United States federal statute signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act amendment, it represents the most significant regulatory overhaul of the U.S. healthcare system since the passage of Medicare and Medicaid in 1965. Under the act, hospitals and primary physicians would transform their practices financially, technologically and clinically to drive better health outcomes, lower costs and improve their methods of distribution and accessibility.
...bout 431,000 applications from the 2014 enrollment period still had unresolved inconsistencies as of April 2015, with about $1.7 billion in federal subsidies at stake, according to the GAO’s analysis of CMS data. Moreover, CMS did not resolve Social Security number inconsistencies for about 35,000 applications or questions about incarceration for about 22,000 applicants. Those 57,000 applications in question involved subsidies totaling $222 million.
During an undercover probe by GAO in 2014, investigators using fictitious names and information obtained a total of about $30,000 in annual advance premium tax credits and other benefits from federal insurance market places, either online or by phone. “The fictitious enrollees maintained subsidized coverage throughout 2014, even though GAO sent fictitious documents, or no documents, to resolve application inconsistencies,” the report states.
That humiliating sting operation was first reported in July 2014 in a preliminary report issued by the Government Accountability Office
originally posted by: roaland
a reply to: Gryphon66
so your saying that the CMS didn't do their job to prevent fraud and the wasting of tax payers money? fascinating! And preytell what exactly is exceptable level of corruption and fraud? I mean we're talking about a govt agency here lol not exactly the winners of honesty of the year award here lol
and oh they agreed and I'm sure will take it under advisement and get right on turning it around as soon as they damn well feel like it because we all know govt agencies do not change things over night so by not implementing fraud risk assessments and protocols at start of this quagmire they wasted how much money again to fraud? Oh thats right the CMS isn't even aware of the scope because they didn't have safeguards in place to prevent it. at least thats what i get from your quotes.
originally posted by: burntheships
originally posted by: Gryphon66
It does not point out fraud.
It is not referencing fraud.
Hilarious. I just quoted excerpts of a finding by GAO report
citing fraudulent payments.
So, what definition of "fraud" are you using to deny the truth?
originally posted by: Gryphon66
a reply to: xuenchen
How much fraud has actually been discovered again?
That seems like a significant fact to know.