Just as detractors of President Barack Obama’s healthcare power grab predicted in the midst of Democrat lawmakers shoving their unread law down the throats of the American people, the finished product is living up to expectations: it is filled with deceit, waste, misconduct, and “a big bowl of fraud,” according to several attorneys and investigators who spoke with the ConservativeBase.com’s editor.
However, when the Government Accountability Office (GAO) officials — who report to the U.S. Congress and are reputed to be nonpartisan at least when their reports prove the Democrats’ point of view — released their latest “indictment” of the Patient Protection and Affordable Care Act (PPACA) on Friday, the majority of denizens in American newsrooms ignored the GAO’s disturbing report describing its undercover operation.
The PPACA requires the health-insurance marketplace to review application information to verify applicants’ eligibility for enrollment and to review eligibility for income-based subsidies or Medicaid for those claiming such entitlements. The verification process includes reviewing and validating information about an applicant’s Social Security number, if one is provided; citizenship, status as a national or lawful presence; and household income and family size.
GAO investigators reported that they tested application and enrollment controls for obtaining subsidized health plans available through the federal Health Insurance Marketplace (Marketplace) (for New Jersey and North Dakota) and two selected state marketplaces (California and Kentucky). Although 8 of these 10 fictitious applications failed the initial identity-checking process, all 10 were subsequently approved by the federal Marketplace or the selected state marketplaces.
According to GAO officials: “To perform our undercover testing of the federal and selected state eligibility and enrollment processes for the 2015 coverage year, we created 18 fictitious identities for the purpose of making applications for health-care coverage by telephone and online.18 The undercover results, while illustrative, cannot be generalized to the full population of enrollees. For all 18 applications, we used publicly available information to construct our scenarios.
“We also used publicly available hardware, software, and materials to produce counterfeit or fictitious documents, which we submitted, as appropriate for our testing, when instructed to do so. We then observed the outcomes of the document submissions, such as any approvals received or requests to provide additional supporting documentation.”
Four applications used Social Security numbers that, according to the Social Security Administration (SSA), have never been issued, such as numbers starting with “000.” Other applicants had duplicate enrollment or claimed their employer did not provide insurance that meets minimum essential coverage. For 8 additional fictitious applicants, GAO tested enrollment into Medicaid through the same federal Marketplace and the two selected state marketplaces, and was able to obtain either Medicaid or alternative subsidized coverage for 7 of the 8 applicants:
- Three were approved for Medicaid, which was the health-care program for which GAO originally sought approval. In each case, GAO provided identity information that would not have matched SSA records. For two applications, the marketplace directed the fictitious applicants to submit supporting documents, which GAO did (such as a fake immigration card), and the applications were approved. For the third, the marketplace did not seek supporting documentation, and the application was approved by phone.
- For four, GAO did not obtain approval for Medicaid; however, GAO was subsequently able to gain approval of subsidized health plans based on the inability to obtain Medicaid coverage. In 1 case, GAO falsely claimed that it was denied Medicaid in order to obtain the subsidized health plan when in fact no Medicaid determination had been made by the state at that time.
- For one, GAO was unable to enroll into Medicaid, in California, because GAO declined to provide a Social Security number. According to California officials, the state marketplace requires a Social Security number or taxpayer-identification number to process applications.
According to officials from the Centers for Medicaid & Medicare Services (CMS), California, Kentucky, and North Dakota, the marketplaces and Medicaid offices only inspect for “supporting documentation that has obviously been altered. So if the documentation submitted doesn’t show such signs, it wouldn’t be questioned for authenticity.
The latest survey by Rasmussen Polling shows that only 32% of likely voters believe the government should require every American to buy or obtain health insurance. Most voters (56%) continue to oppose Obamacare’s insurance requirement, and this is the highest level of opposition in nearly two years. Twelve percent (12%) remain undecided.