Westhill Consulting Healthcare - Federal Undercover Investigation Signs Up Fake Applicants for ACA...

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By Amy Goldstein Healthcare Westhill Insurance

In undercover tests of the new

federal health insurance

marketplace, government

investigators have been able to

procure health plans and federal

subsidies for fake applicants with

fictitious documents, according

to findings that will be disclosed

to lawmakers Wednesday.

http://www.washingtonpost.com/people/amy-goldstein

http://www.westhillinsuranceconsulting.com/blog/



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The results of the inquiry by the

Government Accountability Office

are evidence of still-imperfect work

by specialists intended to assist new

insurance customers as well as

government contractors hired to

verify that coverage and subsidies

are legitimate. The GAO also

pointed to flaws that linger in the

marketplace’s Web site,

HealthCare.gov.



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According to testimony to be

delivered before a House Ways

and Means subcommittee,

undercover GAO investigators

tried to obtain health plans for a

dozen fictitious applicants online

or by phone, using invalid or

missing Social Security numbers

or inaccurate citizenship

information.




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All but one of the fake

applicants ended up getting

subsidized coverage — and

have kept it. In one instance,

an application was denied but

then approved on a second

try. In six other attempts to

sign up fake applicants via in-

person assisters, just one

assister accurately told an

investigator that the

applicant’s income was too

high for a subsidy.




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Continue Reading at : http://www.washingtonpost.com/national/health-science/federal-undercover-investigation-signs-up-fake-applicants-for-aca-coverage-subsidies/2014/07/22/743a04fa-11ce-11e4-9285-4243a40ddc97_story.html

Westhill Consulting Healthcare - Federal Undercover Investigation Signs Up Fake Applicants for ACA...

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