Audits and investigations into the effects of ObamaCare from congressional committees, government auditors, advocacy groups, and others.
The Federal government wants to leave doctors and hospitals on the hook for medical bills unpaid by the failed ObamaCare co-ops.
A top official at the Centers for Medicare and Medicaid Services told Congress that the government, not medical providers, has the first right to any remaining co-op funds. This CMS policy ignores a 1993 U.S. Supreme Court decision that says the federal government is next to last in line for payment in insurance cases, and policyholders should come first.
Twelve of the 24 co-ops funded through the ACA have failed and are going through the liquidation process. At least 800,000 people have had to find other coverage after their co-op policies were cancelled.
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According to the GAO report, billions of dollars in Obamacare subsidies were paid out in 2014 to individuals with “unresolved inconsistencies” regarding their eligibility for coverage:
• As of April 2015, more than 431,000 applications — amounting to $1.7 billion in taxpayer subsidies — had unresolved paperwork discrepancies dating to 2014.
• Roughly 22,000 applications that may (or may not) have been filed by people serving prison sentences added up to another $68 million in subsidies. (Prisoners are not eligible for Obamacare coverage.) The Centers for Medicare and Medicaid is required to check a national database to verify an applicant is not incarcerated, but since the CMS learned that the data in the database wasn’t up to date, CMS’ new official policy is to — get this — take the applicant’s word as to his or her incarceration status.
• Another 35,000 applications with varying forms of inconsistency with their Social Security numbers received subsidies worth $154 million.
With billions in taxpayer dollars at stake, the Obama administration has taken a “passive” approach to identifying potential fraud involving the president’s health care law, nonpartisan congressional investigators say in a report released Wednesday.
While the Government Accountability Office stopped short of alleging widespread cheating in President Barack Obama’s signature program, investigators found that the administration has struggled to resolve eligibility questions affecting millions of initial applications and hundreds of thousands of consumers who were actually approved for benefits.
The agency administering the health law — the Centers for Medicaid and Medicare Services — “has assumed a passive approach to identifying and preventing fraud,” the GAO report said. In a formal written response, the administration agreed with eight GAO recommendations while maintaining that it applies “best practices” to fraud control.
A new report dives into the problem-plagued development of the ObamaCare website and finds repeated warning signs that went unheeded before its failed launch.
President Obama has called the launch of healthcare.gov a “well-documented disaster,” and a Department of Health and Human Services Inspector General report provides a new in-depth look at the problems and lessons learned.
The IG report finds that the Centers for Medicare and Medicaid Services, which oversees healthcare.gov, received 18 “documented warnings” of problems with the site’s construction between July 2011 and July 2013. But the warnings were either not communicated across the agency or not acted upon, the report says.
The ObamaCare health exchange in Colorado faced “numerous weaknesses” and had “inadequate security settings,” leaving the personal information of enrollees vulnerable, according to a new audit.
The inspector general for the Department of Health and Human Services publicly released its review of Connect for Health Colorado on Wednesday, revealing the exchange had inadequate security measures in place for more than a year.
The report, which reviewed information security controls as of November 2014, did not go into specifics of Connect for Health Colorado’s vulnerabilities because of the “sensitive nature of the information.”
The state’s Kynect health insurance exchange is a financially unsustainable boondoggle that has cost $330 million, Gov. Matt Bevin’s top health officials told lawmakers at the Capitol Tuesday. Additionally, state spending on Medicaid will jump by 20 percent in the next two-year budget, to $3.7 billion, as federal support declines, they said.
“The day of reckoning has come, and we’re going to have to pay the bills,” Health and Family Services Secretary Vickie Yates Brown Glisson told the House budget subcommittee for human services.
The government granted up to $750 million in ObamaCare tax credits to 500,000 persons who weren’t eligible, many of whom may have been illegal immigrants, a Senate report says.
Half a million individuals mistakenly received the tax credits because of a lapse in verification of their legal status and a lack of coordination among government agencies, the report determined.
Although they failed to verify citizenship or their legal status, they got the “advanced premium” tax credits under the Affordable Care Act. The taxpayer dollars are awarded on the basis of income to help lower premium costs on ObamaCare’s marketplace insurance exchanges.
New York regulators refuse to publicly release key documents that explain the failure of the nation’s largest ObamaCare health insurance co-op.
New York Department of Financial Services (DFS) reportedly launched an official investigation in September 2015 of Health Republic of New York for “substantial under-reporting” of its finances. Health Republic is one of 13 ObamaCare non-profit health insurance co-ops that have failed since the $2.5 billion program’s 2012 launch to compete with commercial for-profit insurance companies.
D. Monica Marsh, DFS’s principal attorney, told The Daily Caller News Foundation that Health Republic’s financial records aren’t being made public because doing so would have a “chilling effect” on the state’s official investigation.
On Christmas Eve in 2009, Secretary of State Hillary Clinton was awake before dawn to personally monitor a critical moment in the nation’s history.
But Mrs. Clinton, the country’s top diplomat, was not observing a covert operation in the Middle East or tracking pivotal negotiations with a foreign power. Her television was tuned to C-Span, and she was watching the Senate vote on President Obama’s landmark health care law.
Emails released last week by the State Department that were found on Mrs. Clinton’s private server show that she was keenly interested in the administration’s push to win passage of the health care law.
House Republican committee chairmen on Wednesday subpoenaed Treasury Secretary Jack Lew for documents related to ObamaCare payments that Republicans say are unlawful.
House Energy and Commerce Chairman Fred Upton (R-Mich.) and House Ways and Means Committee Chairman Kevin Brady (R-Texas) issued the subpoena for Lew and three Internal Revenue Service officials to produce documents related to financial help for people under ObamaCare known as “cost sharing reductions.”
The lawmakers are issuing the subpoena after repeatedly requesting the information throughout 2015 but being rebuffed by the administration.