2.6 Million “Inconsistencies” Could Affect Applicants’ Obamacare Eligibility

July 2, 2014 DATAMARK

The federal government–and a couple of states–will have to slog through some 2.6 million Obamacare health insurance application “inconsistencies” identified by the Health and Human Services Office of the Inspector General.

The IG recently released reports concluding that many people who signed up for coverage through the Healthcare.gov web site and through California and Connecticut’s web sites may not be eligible for coverage, or may not be eligible for federal subsidies to assist in paying for coverage, according to the Washington Post.

The IG was tasked with determining if the healthcare marketplaces had the ability to verify the accuracy of information submitted by applicants. One of the IG’s reports found there were 2.9 million inconsistencies between the documentation provided by applicants and the federal government’s records. Of these, 2.6 million remained unresolved at the time of the investigation because the online system designed to resolve inconsistencies “was not fully operational,” according to the report.

The most common inconsistencies are related to applicants’ income and their citizenship status, according to the Washington Post.

Of the millions of inconsistencies, officials with the IG’s office said they “do not necessarily indicate that an applicant provided inaccurate information or is enrolled in a qualified health plan or is receiving financial assistance through insurance affordability programs inappropriately.”

The IG’s office advised the Centers for Medicare and Medicaid Services, which is overseeing the Obamacare rollout, to develop a plan and a timeline for resolving the inconsistencies.

For more information visit:

https://oig.hhs.gov/oas/reports/region9/91401000.asp

and

https://oig.hhs.gov/oei/reports/oei-01-14-00180.asp

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