Report: Obamacare Exchanges Fraud Costs Taxpayers MillionsPosted: January 27, 2018 | |
It seems an incredible waste to put tens of millions, if not hundreds of millions, of taxpayer dollars at risk through fraud on federal exchanges.
On Tuesday, the Government Accountability Office (GAO) released another report into eligibility verification checks on the federally run Obamacare insurance exchange used by more than three dozen states. As with prior studies, GAO concluded that regulators still need to improve integrity efforts to ensure the federal government spends taxpayer funds wisely.
Among the report’s most noteworthy conclusions: A total of 17,000 federally subsidized insurance policies studied during the 2015 plan year—the most recent for which GAO had complete data at the time of its investigation—began or continued after the applicant’s reported date of death. In 1,000 of those cases, coverage began after the applicant’s reported date of death. In a further 2,000, the application was submitted after the applicant’s reported date of death—in most cases because the exchange automatically re-enrolled applicants without checking to determine that they remained alive.
GAO previously recommended that the federal exchange verify eligibility periodically, checking changes in circumstances that would affect the status of federal subsidies, such as death. However, to the best of auditors’ knowledge, the Centers for Medicare and Medicaid Services (CMS) has not implemented this recommendation, one of 18 relating to exchange integrity that remain open (i.e., not completed) from two prior GAO reports.