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GAO Releases Undercover ACA Audit Results

The Government Accountability Office says investigators were able to obtain health plans and federal subsidies for bogus applicants using false documents via the federal health insurance marketplace...
July 31, 2014

The Government Accountability Office (GAO) says investigators were able to obtain health plans and federal subsidies for bogus applicants using false documents via the federal health insurance marketplace. The findings were presented in a preliminary report to lawmakers at a House Ways and Means subcommittee hearing on July 23. GAO agents went undercover and created fictitious identities to apply for insurance subsidies online, over the phone and in person. Investigators were able to get subsidized healthcare under fake names 11 out of 12 attempts, mostly through the call centers that handled applications for thousands of consumers unable to get through online due to the faulty website.

The report was requested last year by Senators Orrin Hatch (R-Utah) and Tom Coburn (R-Okla.) and Representatives Dave Camp (R-Mich.) and Charles Boustany (R-La). Officials said the investigation is active and more results may be released in the next few months. GAO investigators also pointed out that the government may be paying incorrect insurance subsidies to a significant share of the 5.4 million Americans who signed up for health plans for this year through the federal marketplace.

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