Tuesday, October 27, 2015

OBAMAmess: Investigation Finds Errors in Coverage and Payments Under Affordable Care Act

Federal investigators from the Government Accountability Office said Thursday that they had discovered many errors in eligibility decisions under the Affordable Care Act that had led the government to pay for duplicate coverage for some people and an excessive share of costs for others.
An adviser for Sunshine Life and Health, right, presented 
health-plan options available under the Affordable 
Care Act in Miami in December. Getty Images
The investigators said some people were receiving subsidies for private insurance at the same time they were enrolled in Medicaid.
In other cases, the investigators said, the government is probably overpaying because it cannot always distinguish between newly eligible beneficiaries under the Affordable Care Act and those eligible under the old rules. The federal government is paying 100 percent of the cost of Medicaid for newly eligible people, but for others, it should pay a much smaller share, averaging 57 percent of the costs.
There goes your Tax Dollars
The discrepancy is potentially significant, the investigators said, because the federal government expects to spend more than $400 billion on newly eligible Medicaid beneficiaries from 2014 to 2023.
The accountability office, a nonpartisan investigative arm of Congress, described its findings in three reports to the House Energy and Commerce Committee and the Senate Finance Committee. The reports came 10 days before millions of people will start applying for subsidized health insurance through online federal and state marketplaces, also known as exchanges.
Read thee rest of the story HERE.

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