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Obamacare Could Go Back to the Supreme Court – Yahoo News
The GAO, at the request of members of Congress conducted what amounted to a sting operation against various healthcare exchanges, using fraudulent identities to apply for, and receive, health insurance coverage and federal subsidies through the exchanges. Related: Obamacare Could Go Back to the Supreme Court In testimony before the House Ways and Means Committees Oversight panel Wednesday, Seto J. Bagdoyan, the acting director of GAOs Forensic Audits and Investigative Service, testified that 11 of 12 fraudulent applicants were granted insurance and subsidies, and that most are still receiving them. According to Bagdoyans testimony, the sole fake applicant who did not receive coverage was denied for refusal to provide a Social Security number. Bagdoyan noted that the remaining 11 fraudulent applicants were directed to submit supporting documents, such as proof of income or citizenship but that the review process was inconsistent. Two of the fake applicants submitted similarly fake supporting documentation, which was verified by contractors managing the online exchanges. Three submitted nothing at all, and continue to receive the subsidies.
For the original version including any supplementary images or video, visit http://news.yahoo.com/obamacare-fraud-controls-found-severely-101500437.html
The first decision came early Tuesday morning from a three-judge panel within the U.S. Court of Appeals for the District of Columbia. The panel ruled 2-1 against the administrationsaying people who buy insurance through the federally run exchange are not eligible for subsidies under the law. If that stands, it could potentially yank health care subsidies from nearly 5 million people who signed up for coverage through the federal exchange. Obamacare critics and supporters alike cautioned that the panels ruling poses a huge threat to the stability of the health care law, which mandates that nearly everyone must have health coverage. Related: Average Obamacare Subsidy- $3,312 Payout to Date $4.7 Billion The administration estimates that of the more than 8 million people who signed up for coverage on the federal and state exchanges, 87 percent have qualified for subsidies. If people in the 36 states relying on the federal exchange arent allowed to get subsidies, theyll likely see their monthly premiums skyrocketpotentially rendering their coverage unaffordable. However, just hours later, the Fourth Circuit Court of Appeals offered its own decision on the ruling, which upholds the Obama administration’s arguments that subsidies can be received by people who enrolled in either the state or federal marketplaces.
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U.S. watchdog gives IRS high marks on Obamacare eligibility data – Yahoo News
The nearly 11,000 pages of regulations for this one law alone would reach three feet high if you made the mistake of printing it. However the then infamous speaker of the House of Representatives, Nancy Pelosi, had the audacity of telling congress “But we have to pass the [health care] bill so that you can find out what’s in it. …” In my mind this serves to exemplify just how appalling our elected officials have become. It appears they’re only interested in their own political careers and reelections and could care less about their true responsibilities of crafting well thought out and meaningful legislation that can stand in a court of law. It in fact reflects their lack of attention, and sheer incompetence, about accomplishing why they were sent to Washington, D.C. – to represent we their constitutes, the people who pay their salaries and generous benefits.
For the original version including any supplementary images or video, visit http://www.scsun-news.com/silver_city-opinion/ci_26274383.html
Partners posts $34M loss | Boston Herald
The Massachusetts Association of Health Plans yesterday warned Partners is hardly alone in suffering losses related to the states failed implementation of Obamacare. Health plans losses had already been accelerating because of unexpectedly high medical and pharmaceutical costs, said president Lora Pellegrini. Compounding this is the failure of the states website, the creation of temporary coverage and the unbudgeted costs the (managed care organizations) have incurred to support the IT and operational requirements needed to ensure that residents have access to coverage during open enrollment this coming November. Pellegrini added the costs go beyond any reasonably budgeted losses the health plans could absorb. They are increasingly being asked to do much more with much more limited resources, she said. They cannot continue to sustain year-over-year losses of this magnitude. Partners, meanwhile, also blamed its quarterly loss on an influx of 61,000 additional MassHealth patients to Neighborhood Health who generated substantially higher medical claims, leading to a cost increase of $28 million. Partners attributed $10 million in costs to a breakthrough Hepatitis C drug that the state has not yet agreed to cover. Markell called on state officials to increase rates.
For the original version including any supplementary images or video, visit http://bostonherald.com/business/healthcare/2014/08/partners_posts_34m_loss
It said the agency received 101,018 requests for income and family size verification from health insurance exchanges from Oct. 1 to Oct. 4, 2013 and provided accurate responses on 100,985. The IRS incorrectly told exchange officials that it could not provide tax information for individuals in 33 cases because it could not match the applicants’ names to IRS records. It accurately calculated the maximum monthly tax credits for 120,824 requests received between Oct. 1 and Oct.
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