Obamacare Fraud Controls Found Severely Lacking – Yahoo News

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.
For the original version including any supplementary images or video, visit http://news.yahoo.com/obamacare-could-back-supreme-court-100000682.html

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