Obamacare Exchanges Hand out Millions in Undeserved Tax Credits

Posted On 06 Mar 2017

According to an audit run by the Treasury Inspector General for Tax Administration, Obamacare exchanges around the country handed out $21.8 million in tax credits to people who did not meet the eligibility requirements.

The Centers for Medicare and Medicaid Services is the agency responsible for running Affordable Care Act exchanges, and it is up to them to make sure that people are actually eligible for the tax credits they seek. They do this through a series of questions relating to their identity and their income. The agency is then supposed to verify this information, you know, to make sure they aren’t handing free money to any dope who comes along with their hand out. Unfortunately, according to the audit, the agency declined to do this in many situations.

From the Washington Free Beacon:

The audit found that the exchanges did not successfully verify the identity of 35,276 individuals, and these individuals received $112 million in advance premium tax credits. The report notes that the majority of these applications – 99 percent – had no verification process performed on them, and 251 failed identity verification.

“When we provided the results of our review to the Centers for Medicare and Medicaid Services, management stated that the ACA does not require the exchanges to verify an applicant’s identity,” auditors said. “Management indicated that identity information is not a requirement or a factor in the determination for an individual’s eligibility for health insurance coverage through the exchanges.”

Awesome. Just like voting, eh?

But actually, it’s even worse than the liberal voter ID argument, because not even Democrats would let someone vote if they walked up to the booth and said, “Yo, I’m not a citizen, but I’d like to go ahead and cast a ballot anyway, okay?”

But that’s basically what the Centers for Medicare and Medicaid Services did. The audit found that 11,388 people pocketed $21.8 million in tax credits despite plainly failing to qualify for them. What’s more, that insane situation is actually provided for in the law. Thanks to the “good faith” clause, the agency has the power to award a customer the tax credits as long as they make some sort of half-hearted effort to document their hardship.

“As such,” the auditors wrote, “these individuals continued to receive the advance premium tax credit and were not terminated during calendar year 2014. We do not believe it is appropriate for the exchanges to allow individuals for whom they know one or more of the eligibility requirements were determined to have not been met to continue to maintain insurance coverage and receive the advance premium tax credit for a full calendar year.”

You wouldn’t think an oversight agency would have to come in and state that conclusion for the record, but apparently this is the kind of stuff that eludes your average bureaucrat. It’s not their money, after all…

About the Author

Immigrants Cut Thousands of Holes in Border Fence During Obama’s Tenure

BeijaFlor

“Oversight” agency? More like “overlook” agency.
- rivahmitch
  
  Better to just spray it with Roundup!
  - MAHB001
    
    Sorry, I didn’t read your comment… and just duplicated it..
    - rivahmitch
      
      No sweat… It’s the thought that counts;-)
      - MAHB001
        
        You know what they say about great minds… They think alike… 🙂
- MAHB001
  
  Prune??? I suggest roundup….
jgfsmf

Obamacare. It just keeps giving and giving.
allenhip

We need to move all insurance companies into a not for profit mode. In a recent debate senators. Cruz and Sanders both agreed that private insurance companies should not be making obscene profits off sick people.

TAKE ALL THE GREED OUT OF HEALTHCARE!

We need to agree that the best way to lower administrative costs from its current high (21%) is to lower them to around 9% to 11%, which is the range where not-for-profit healthcare insurance companies operate.

Basic common sense says – the more people that you can enroll in a Health Insurance Plan the lower the premium rates are going to be. Also repealing the portion that requires companies to give their employees healthcare will allow them to drop their employees and puts the burden on individuals to find their own healthcare plans.

http://www.healthinsuranceproviders.com/do-non-profit-health-insurance-companies-exist/ http://www.nonprofithealthcare.org/resources/BasicFactsAndFigures-NonprofitHealthPlans9.9.08.pdf

We need to use the Affordable Care Act as a starting point and below is where we are now in lowering rates.

In March 2010, HIPAA Administrative Simplification provisions were amended through the enactment of the Patient Protection and Affordable Care Act (ACA). Section 1104 of the ACA establishes new requirements for administrative transactions that will improve the utility of the existing HIPAA transactions and reduce administrative costs.

Specifically, in section 1104(b)(2) of the ACA, Congress required the adoption of operating rules for the health care industry and directed the Secretary of Health and Human Services to ‘‘adopt a single set of operating rules for each transaction with the goal of creating as much uniformity in the implementation of the electronic standards as possible.’’

The ACA called for the release of three sets of operating rules:

• Eligibility and claim status (compliance date January 1, 2013)

• Electronic funds transfer and claims payment/remittance advice (compliance date January 1, 2014)

• Health claims, health plan enrollment/disenrollment, health plan premium payment, referral certification, and authorizations (compliance date January 2016)

The Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE) has been selected as the authoring entity for operating rules.

The Federal Government releases the final regulations related to operating rules.

The current health care program that is trying to move forward will cut the deficit at the expense of the consumer. It does not solve the real heart of the problem in delivering quality care for ALL Americans and LOWERING PREMIUM RATES.

Remember it is job of each State Insurance Department to control the increase in rates. If they failed to do their jobs you will be increase.

To lower pharmaceutical prices we also need a NATIONAL DRUG FORMULARY and open it to all the worlds drug companies, then take the best companies and drugs worldwide to be included in that formulary.

When you say Government has too much power in healthcare. What you are really saying is: “ You want the marketplace and insurance companies to control all your healthcare delivery systems”.

Do you really want to be at their mercy or have a responsible government making sure that you’re protected?

We also need to make sure the plan WILL NOT ADD TO THE DEFICIT.

Is the current ACA working lowering premium rates?

Ask the people who got refunds from the insurance companies who were over charged by exceeding the 21% administrative costs.
fordfool

why am I not surprised…its Q apparent the Prez had one intent,taking offc..Do U recall his statement, that “..I will be President FOR the world..” I guess he meant it.
Well we meant it too when we loyallly resisted his Communistic-Socialistic attemopts..we came out in droves, whipped their notion they are in control, not the people…Not-true-Leroy…Folks,just keep those cards ‘n letters coming in…..
Just keep up w/ all the latest diabolical forces..i.e. Chuckie-Yucky Schum… They LOST…and their only recourse, is to DESTROY Trump..nevvvva hoppen …
- Gary_L_Thompson
  
  Unless Trump does himself in. He’s got to start recognizing whom his friends are, and those who aren’t ( http:/www.libertynewsnow.com/paul-ryan-duped-donald-trump-obamacare-2-0/article6850 ) and ( http://www.citizen-action.com/conservatives-explode-anger-obamacare-2-0/article4944 )
AmericanBelle

No wonder people are cramming Town Halls demanding to leave “their insurance” alone! Not only are they being paid to protest, but they’re being paid to have insurance!!! And don’t stop there! Insurance companies couldn’t keep up with the demands of insuring everyone, so the government funneled to the $7.9 BILLION! Here’s how THAT SCAM worked: Our premiums included money that was funneled to the insurance companies, thus 138 million people paid a total of $8.7 billion to a reinsurance fund. Only 16.3 million people were in the risk pool that this money was set aside to fund claims. The money in this fund was supposed to reimburse insurance companies 80 percent of the large claims. Instead the government paid the insurance companies 100 percent of the large claims. The total paid out was $7.9 billion.

So the government collected more money from you than they needed, gave more money to insurance companies than the original agreement, and kept $800 million of your money for insurance companies in the future. Yet for 91 percent of those who paid in, it didn’t help whatsoever.

Congress better do exactly what Trump wants: a free market insurance program where you BUY what you want; those who can’t afford it will have to give up one of their “luxuries” (like pizza night!) if they want it; otherwise, apply for medicaid. As we’ve seen, government has no business getting involved in micromanaging our lives!
- mpittman
  
  Good explanation. I have said all along gov does not have authority for if/when/where we obtain health policies. I’ve done it all my life and it was economical and it was MINE to renew or cancel.
- Irvan
  
  VERY WELL PUT!!!!
BlueWarrior

So how many people get to serve prison time for this oversight? Was this part of the bill that had to be passed to find out what is in it? I once had an oversight on my taxes from a part time job I had. I didn’t go to prison, however, I did pay just over $500 in taxes on $1,400 worth of income. God love those liberal, socialist, communist.
Liesel

Why is this allowed to happen ? Why is Medicare involved with Obamacare ?
Gary Von Neida

How about a CLASS ACTION SUIT against Obama by American Citizens?
allenhip

FOR THE RECORD OF 2009-2010 THE HISTORY OF THE AFFORDABLE CARE ACT

Almost no one is noting the extraordinary influence Republicans had on the healthcare reform bill crafted by the Senate, as it made its way through the committee process. The bill approved by Sen. Christopher Dodd’s Health, Education, Labor and Pensions committee, for instance, included 161 amendments authored by Republicans. Only 49 Republican amendments were rejected out of 210 considered. Yet the bill got zero Republican votes when it passed out of the committee.

Source: http://www.salon.com/2010/02/23/hcr_amendments/

Republican Senator who vote in favor of the health care legislation during the Finance Committee process was Olympia J. Snowe of Maine, but Ms. Snowe then said she will oppose bringing up the bill for debate because the majority leader, Harry Reid of Nevada, added a government plan to the bill.

Remember the Democrats wanted a single payer Healthcare Bill HR676 and this was the compromise that went through and was voted on. I believe it was Senator Ms. Snowe that recommend the change to/or supported exchanges but I could be wrong.

Back on Nov. 8th 2009 House Democrats were also thrilled by the passage of their major health care legislation, but perhaps no development tickled them more than winning the vote of a single Republican: Representative Anh “Joseph” Cao of Louisiana.

How the Patient Protection and Affordable Care Act (PPACA or just ACA) came into existence

According to a HELP Committee document about bipartisan aspects of the health reform bill the committee passed July 15, 2009, its final bill included “161 Republican amendments,” including “several amendments from Senators [Mike] Enzi [R-WY], [Tom] Coburn [R-OK], [Pat] Roberts [R-KS] and others [that] make certain that nothing in the legislation will allow for rationing of care,” and reflected the efforts of “six bipartisan working groups” that “met a combined 72 times” in 2009 as well as “30 bipartisan hearings on health care reform” since 2007, half of which were held in 2009 [HELP Committee document, 7/09]. And according to the Senate Finance Committee’s September 22, 2009, document detailing the amendments to the Chairman’s Mark considered, at least 13 amendments sponsored by one or more Republican senators were included in the bill.

There were 210 Republican amendments submitted but only 161 Republican amendments were implemented into the plan.

On 03/21/2010 NO House Republican voted for the final bill but it passed Yes 219 to No 212

https://dealbook.nytimes.com/2010/04/14/bill-would-require-derivatives-trading-to-occur-on-exchanges/
https://prescriptions.blogs.nytimes.com/2009/11/08/health-bill-earns-one-republican-vote/
https://www.healthreformvotes.org/congress/roll-call-votes/h165-111.2010
http://www.americasfairhealthcare.org/blog/entry/fact-check-how-the-health-care-law-was-made/
https://www.whitehouse.gov/health-care-meeting/republican-ideas
- GODBlessRealAmerica!
  
  https://uploads.disquscdn.com/images/1f5ec2a8fb15a75460fe8b21b59cd3f71ba279072441490fb75ad3b342f26f8b.jpg
Walter Flatt

OBAMA AND HIS ADMINSTRATION SHOULD BE FULLY INVESTIGATED AND ALL SENT TO PRISON IS FOUND GUILTY OF WRONG DOING.

SHARE THIS WITH EVERYONE YOU CAN.

OBAMA HAS GIVEN BILLIONS TO MUSLIMS THAT ARE TRYING TO KILL US. ENOUGH TO REBUILD OUR MILITARY AND INFRASTRUCTURE.

PRAY THAT THIS DOES NOT HAPPEN, BUT GET READY, PRESIDENT TRUMP, BE VERY CAREFUL, WE HAVE WORKED TO HARD TO LOSE YOU NOW. FIRE EVERYONE ASSOCIATED WITH OBAMA.

FROM A KOREAN WAR VET 51/53, A REG. DEM. ALL MY LIFE, BUT I VOTED FOR TRUMP & WILL NEVER VOTE DEM AGAIN AS LONG AS THIS LYING CROOKED MESS IS IN D.C.

HAS OBAMA SET HIMSELF UP TO BE THE HEAD OF A MUSLIM TRY AT TAKING THIS COUNTRY? BETTER THINK! HE IS A MUSLIM SETTING UP HEADQUARTERS WITH HOLDER IN DC, 5 MUSLIM CAMPS JUST ACROSS THE LINE IN NORTH VA. MUSLIM AND FEMA CAMPS ALL OVER THE USA, MOST CLOSE TO MILITARY BASES. HE HAS TAKEN BILLIONS OF YOUR MONEY AND GIVEN TO MUSLIMS AND HAS DONE NOTHING BUT DAMAGE THE USA. BETTER WAKE UP.

I BELIEVE WE HAVE BEEN SET UP FOR A TRY AT A MUSLIM INVASION OF THIS COUNTRY BY, HILLIARY, OBAMA, KERRY, SORROS AND THE BIASED MEDIA. READ ALL THE WHYS BELOW.

WHY ISN’T A LAW BEING ENFORCED BARRING ALL MUSLIMS FROM THIS COUNTRY. THIS LAW WAS PASSED IN 1952. PUBLIC LAW 414, PAGE 2, SECTION 212. ALSO #8 US CODE 482, BARRING ALL INADISSIBLE ALIENS FROM THE USA GOVERNMENT WAS PASSED IN 1952.

WHY DO YOU THINK ANYTHING OBAMA HAS DONE IS LEGAL, HE HAS CONFESSED TO BEING A MUSLIM ON NATION WIDE TV. EVERYTHING HE HAS SIGNED, OR ORDERED IN 8 YEARS IS ILLEGAL.

WHY DID HILLIARY HAVE A MUSLIM FROM A RADICAL FAMILY AS HER TOP AIDE FOR 10 YEARS, HUMA COULD BE A PERFECT PIPELINE TO PASS SECRETS TO THE MUSLIM WORLD.

WHY HAS OBAMA SURROUNDED HIMSELF WITH MUSLIMS ANOTHER PERFECT PIPELINE TO PASS SECRETS. HE HAS DECLARED HIMSELF A MUSLIM ON NATIONWIDE TV.

WHY DOES THE BIASED NEWS MEDIA SAY HE IS NOT A MUSLIM, WHEN I HAVE A LIST OF WHERE 34 TIMES HE HAS EITHER HELPED THEM OR SAID HE WAS ONE.

WHY GET MAD AT PUTIN, HE SAID THAT THERE WAS NO PLACE IN RUSSIA FOR ANYONE THAT WOULD NOT FOLLOW THEIR LAW AND SPEAK THEIR LANGUAGE, THEY WOULD HAVE TO GO TO A COUNTRY THAT DID.

WHY HAS HILLIARY, OBAMA, KERRY AND THE BIASED NEWS MEDIA DONE EVERYTHING THEY CAN TO HELP THE RADICAL MUSLIMS.

WHY DID THE OBAMA ADMINSTRATION TRY AND BUY UP ALL AMMO?

WHY TRADE 5 TERRIOST FROM CUBA FOR ONE TRAITOR?

WHY TRY AND TAKE OUR GUNS? HITLER DID, & HISTORY TELLS US WHAT HAPPENED THERE.

WHY ALLOW A MINIMUM OF 37 MUSLIM CAMPS HERE IN THE STATES? MOST CLOSE TO MILITARY BASES. I PERSONALLY VERIFIED THE ONES IN SHAWNEE NATIONAL PARK, IN IL. AND THE ONE AT DOVER, TN. AND THE FEMA CAMP IN EAST KY.

WHY ARE THERE 5 MUSLIM CAMPS IN N. VIRGINIA, CLOSE TO DC? ARE THEY TO TAKE WASHINGTON?

WHY BUILD A FEMA CAMP IN EVERY STATE, SOME MORE THAN ONE, AT TAX PAYERS EXPENSE, WITH ARMED GUARDS? ARE THEY TO HOLD AND TRAIN MUSLIMS?

WHY ARE THEY BRINGING THOUSANDS OF YOUNG MUSLIMS HERE?

WHY IS THE TAX PAYER HAVING TO FEED, CLOTH & HOUSE THE HUNDREDS OF THOUSAND OF MUSLIMS BEING BROUGHT HERE?

WHY GIVE THE THOUSANDS OF MUSLIMS BROUGHT IN FREE HEALTH CARE, SPENDING THOUSANDS FOR HOSPITAL CARE?

WHY ARE THE ILLEGALS BEING TREATED BETTER THAN OUR VETERANS.

WHY STOP THE TANK AND PLANE SHIPPMENT TO EGYPT, WHEN THEIR ARMY KICKED THE RADICALS OUT?

WHY DID OUR GOVERNMENT SEND BILLIONS OF DOLLARS TO HELP THE RADICALS IN IRAN, A COUNTRY OUT TO DESTROY US?

WHY ARE WE SENDING BILLIONS TO ARAB COUNTRIES, AND LETING OUR COUNTRY GO TO POT?

WHY DONT THEY ENFORCE THE LAW BARRING ALL MUSLIMS FROM THIS COUNTRY? PRAY THAT TRUMP WILL DO THIS.

WHY IS THE MUSLIM MAJOR IN TEXAS LIVING THAT KILLED 14 SOLDIERS AND WOUNDED A LOT MORE?

WHY ARE THEY RELEASING ALL MUSLIMS IN CUBA TO GO BACK INTO ACTION TO KILL OUR SOLDIERS?

WHY DONT WE HANG ALL MUSLIMS CAUGHT AND BURY THEM WITH PIG PARTS, LIKE GENERAL PERSHING DID IN THE PHILLIPENS? HE STOPPED A MUSLIM UPRISING BY DOING JUST THAT.

WHY WAS OBAMA ALLOWED TO SWEAR IN CARLOYN WALKER AS JUDGE IN BROOKLIN USING THE QURAN?

WHY ALLOW ILLEGALS TO FLOOD OUR COUNTRY WHEN THEY COST MORE PER YEAR THAN THE IRAQ WAR.

WHY SEND BILLIONS TO MUSLIM COUNTRIES TRYING TO KILL US.

WHY DONT THE BIASED MEDIA REPORT ALL THIS.

YOU SAY THAT A MUSLIM TRY AT A TAKEOVER IS IMPOSSIBLE, I CAN TAKE 100 WELL ARMED PEOPLE AND TAKE ANY BASE IN 1 HOUR, OUR TROOPS ARE NOT ARMED.

BETTER COAT ALL YOU AMMO WITH PIGS BLOOD OR GREASE, LET THE WORLD KNOW YOU ARE DOING SO.

TRUMP IS NOW THE PRESIDENT, SO, GET ON BOARD AND HELP HIM STRAIGHTEN THIS MESS OUT. PRAY FOR HIS PROTECTION EACH DAY.

I HAVE A LOT MORE FACTS IF ANYONE WANTS THEM. SHARE THIS.
Margaret Heller

Obama ran roughshod over the Constitution and did what he damn well pleased because the Republicans were weakly led besides being thwarted every which way. He did his dirty work behind our backs and doled out money to unqualified people, in addition to HAMAS ($90M), and his birthplace, KENYA ($300M). I am only ecstatic that he is out of office but know he is staying around DC to harass Trump.
MAHB001

They actually mean that the 0bamacare exchange used 21.8 million taxpayers dollars to purchase votes.

You would think that that kind of behavior would be illegal…..
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Obamacare Exchanges Hand out Millions in Undeserved Tax Credits

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