Thursday, December 1, 2022
Hawai'i Free Press

Current Articles | Archives

Monday, May 6, 2013
Streamlined ObamaCare Application Leaves Program Open to Insurance Fraud
By NCPA @ 10:09 PM :: 2786 Views :: Health Care

Streamlined ObamaCare Application Leaves Program Open to Insurance Fraud

NCPA May 6, 2013

Last month, the federal government floated a 61-page draft application that people would use to sign up for the Affordable Care Act's ("ObamaCare") financial subsidies. (Coming to Hawaii this fall.) After a political rebuke over the form's length, the Department of Health and Human Services has released a streamlined, three page version of the same application. However, the government's new form is going to be an invitation to fraud and abuse, says Scott Gottlieb, a resident fellow at the American Enterprise Institute.

  • The length of the old application was largely driven by the need to ensure that consumers were actually eligible for the government subsidies that ObamaCare offers as a way to offset the cost of buying health insurance.
  • Under the law, people are entitled to government money to defray those costs, depending on their historical income level.
  • The subsidies start for families and individuals above 133 percent of the Federal Poverty Level (FPL) and then decline through rising income levels.
  • The subsidies are no longer available once people reach 400 percent of the FPL.
  • That comes out to about $95,000 in annual income for a family of four. (People below 133 percent of FPL will be offered Medicaid).

Those 61 pages of the old application were mostly filled with questions to make sure that people were eligible to get the subsidies. The government needs to verify their income and make sure that they aren't eligible for health insurance at work. The government also needs to verify that people aren't eligible for other public health insurance programs like Medicaid or Veteran's benefits before they receive subsidies to buy coverage on the exchanges.

The new form largely takes your word for it all. This leaves one of three possibilities:

  • First, that the government is willing to tolerate a lot of fraud and waste as subsidies flow to individuals who weren't eligible for the money in the first place.
  • Second, the government is going to rely on the states and the private health plans to ask the probing questions, essentially foisting the vetting process onto other entities so that these actors are the targets of any political backlash.
  • Or third and most likely, it's some combination of each of these devices.

Source: Scott Gottlieb, "Streamlined ObamaCare Application Leaves Program Open to Insurance Fraud," Forbes, May 1, 2013.

Links

TEXT "follow HawaiiFreePress" to 40404

Register to Vote

2aHawaii

808 Silent Majority

ACA Signups Hawaii

Alliance Defending Freedom

Aloha Pregnancy Care Center

American Council of Trustees and Alumni

AntiPlanner

Antonio Gramsci Reading List

A Place for Women in Waipio

Astronomy Hawaii

Back da Blue Hawaii

Ballotpedia Hawaii

Better Hawaii

Broken Trust

Build More Hawaiian Homes Working Group

ChinaTownWatch.com

Christian Homeschoolers of Hawaii

Cliff Slater's Second Opinion

DVids Hawaii

FIRE

Fix Oahu!

Frontline: The Fixers

Genetic Literacy Project

Grassroot Institute

Habele.org

Hawaii Aquarium Fish Report

Hawaii Aviation Preservation Society

Hawaii Catholic TV

Hawaii Christian Coalition

Hawaii Cigar Association

Hawaii Coalition Against Legalized Gambling

Hawaii ConCon Info

Hawaii Credit Union Watch

Hawaii Crop Improvement Association

Hawaii Debt Clock

Hawaii Defense Foundation

Hawaii Family Forum

Hawaii Farmers and Ranchers United

Hawaii Farmer's Daughter

Hawaii Federalist Society

Hawaii Federation of Republican Women

Hawaii Future Project

Hawaii Gathering of Eagles

Hawaii History Blog

Hawaii Homeschool Association

Hawaii Jihadi Trial

Hawaii Legal News

Hawaii Legal Short-Term Rental Alliance

Hawaii Life Alliance

Hawaii March for Life 

Hawaii Matters

Hawaii's Partnership for Appropriate & Compassionate Care

Hawaii Public Charter School Network

Hawaii Rifle Association

Hawaii Shippers Council

Hawaii Smokers Alliance

Hawaii State Data Lab

Hawaii Together

HIEC.Coop

HiFiCo

Hiram Fong Papers

Homeschool Legal Defense Hawaii

Honolulu Navy League

Honolulu Traffic

House Minority Blog

Imua TMT

Inouye-Kwock, NYT 1992

Inside the Nature Conservancy

Inverse Condemnation

Investigative Project on Terrorism

July 4 in Hawaii

Kakaako Cares

Keep Hawaii's Heroes

Land and Power in Hawaii

Legislative Committee Analysis Tool

Lessons in Firearm Education

Lingle Years

Malulani Foundation

Managed Care Matters -- Hawaii

Malama Pregnancy Center of Maui

MentalIllnessPolicy.org

Military Home Educators' Network Oahu

Missile Defense Advocacy

MIS Veterans Hawaii

NAMI Hawaii

Natatorium.org

National Christian Foundation Hawaii

National Parents Org Hawaii

NFIB Hawaii News

No GMO Means No Aloha

Not Dead Yet, Hawaii

NRA-ILA Hawaii

Oahu Alternative Transport

Obookiah

OHA Lies

Opt Out Today

OurFutureHawaii.com

Patients Rights Council Hawaii

PEACE Hawaii

People vs Machine

Pritchett Cartoons

Pro-GMO Hawaii

P.U.E.O.

RailRipoff.com

Rental by Owner Awareness Assn

ReRoute the Rail

Research Institute for Hawaii USA

Rick Hamada Show

RJ Rummel

Robotics Organizing Committee

Save Dillingham Airfield

School Choice in Hawaii

SenatorFong.com

Sink the Jones Act

Statehood for Guam

Talking Tax

Tax Foundation of Hawaii

The Real Hanabusa

Time Out Honolulu

Trustee Akina KWO Columns

UCC Truths

US Tax Foundation Hawaii Info

VAREP Honolulu

Waagey.org

West Maui Taxpayers Association

What Natalie Thinks

Whole Life Hawaii

Yes2TMT