One Problem With ObamaCare

On Monday, The Federalist posted an article about the problem of fraud in the ObamaCare subsidies.

The article reports:

In recent months, these pages have recounted myriad reports of fraud in Medicaid and on the Obamacare Exchanges. The Congressional Budget Office and others have noted millions of potentially erroneous or fraudulent enrollees, who are receiving tens of billions of dollars in taxpayer-funded subsidies.

On Wednesday, the Government Accountability Office (GAO) added to the reports pouring in. Its preliminary analysis raised additional questions about fraud relating to Exchange subsidies, providing yet another reason for Congress not to extend the enhanced Covid-era subsidy regime that expires at the end of the month. 

…During the last plan year, GAO noted that “we either were not requested to provide the federal Marketplace [i.e., Exchange] with documentation or generally did not provide what was requested, yet our four fictitious applicants received subsidized coverage for November and December 2024.” In one example, the federal Exchange sent a letter that “confirmed the applicant’s income based on documentation we submitted,” even though GAO had not sent any such documentation.

This year, GAO said the Exchange “initially approved coverage for 19 of our 20 fictitious applicants,” with the only exception being “when the broker we were working with stopped responding to us.” In another case, the Exchange cut off coverage after the fictitious enrollee did not provide citizenship documentation. But in total, nine months into the plan year in September, “coverage for 18 [of 20] fictitious enrollees remained active,” totaling over $10,000 per month in taxpayer subsidies paid to insurers on behalf of nonexistent enrollees.

One example of fraud:

In 2023, a total of 58,000 Social Security numbers received subsidies yet also matched Social Security Administration death data. These instances included more than 7,000 numbers “where the reported date of death occurred prior to enrollment” in the Exchange, and more than 19,000 numbers where “matches had different names and dates of birth” between the Exchange database and the Social Security Administration database, a potential sign of “synthetic identity fraud.”

The article concludes:

Regardless, lawmakers should not spend another $350 billion (plus interest) throwing good taxpayer money after bad, even as one government report after another shows Exchange-related fraud remains out of control. After incurring more than $38 trillion in debt, Washington should finally realize it has run out of other people’s money to spend on such profligacy.

It is past time to make the subsidies go away and find a better way to do healthcare.