The inspector general for the Department of Health and Human Services released a report highlighting problems verifying eligibility for federal health insurance subsidies under the Affordable Care Act.
Here are five issues the IG found in place as of Feb. 23:
1. Fraud could be significant. The audit found the federal government has been unable to resolve 2.6 million out of 2.9 million “inconsistencies” in the information provided by people who applied for health care subsidies. In other words, it could not verify the data provided by people seeking subsidies.
2. Most inconsistencies were about citizenship and income. The vast majority of the questionable data provided by those receiving health care subsidies relate to citizenship and income level. The audit found that 44 percent of inconsistent information concerned verifying citizenship or lawful presence. Income information made up 33 percent of the potentially faulty data, and in 11 percent of cases, the government couldn’t verify whether a person was truly ineligible for employer-sponsored insurance.