Damning Watchdog Report Reveals 'Large-Scale Systemic Failures' Leading to Obamacare Subsidy Fraud
Earlier this year, when Elon Musk's Department of
Government Efficiency (DOGE) began reporting on massive amounts of
fraud in our social programs, the Democrats scoffed at him. They ran
before any camera they could find to claim breathlessly that Musk was
going to take away Social Security and leave Grandma out in the cold.
That's not true, of course. Musk and DOGE were trying to not only
save America from fiscal ruin, but to make these programs sustainable
for the people who actually need and paid into them — the American
taxpayers.
Democrats, on the other hand, seem to view those
programs as ones that are not only open to non-Americans but also
sources of massive fraud that enrich Somali immigrants and support
Islamic terrorism in Africa. The blunt reality is this: America is going
to go broke if we don't control spending, and control it soon.
Stopping
widespread fraud is a good first step to controlling spending, and
there's massive fraud in Social Security and subsidized healthcare,
according to a watchdog investigation.
BOMBSHELL:
A new watchdog investigation found large-scale systemic failures that
allow fake identities, dead people, and massive improper use of Social
Security numbers to receive Obamacare subsidies.
GAO conducted covert operations which included creating fictitious identities.…
GAO
conducted covert operations which included creating fictitious
identities. In fact, 100% of fake applicants were approved by
Obamacare's marketplace as recently as late 2024. 90% of fake applicants
continue to receive coverage in 2025.
The result: Wasteful
federal spending on subsidies for enrollees who are not eligible. Harm
and unexpected costs for consumers. Loss of access to medical providers
and medications, higher copays and deductibles, or forced repayment.
Specifically, one Social Security number was repeatedly used to get
subsidized healthcare for more than 70 people, and authorities just
couldn't be bothered to figure out who the real person was.
Good Lord…
They
found one Social Security number was being used to get subsidized
healthcare for SEVENTY-ONE DIFFERENT PEOPLE and when they asked the
people in charge about it they just said they didn’t feel like figuring
out which person was the real one. https://t.co/sujExP7EZIpic.twitter.com/I717Fkramn
One
issue that can hinder reconciliation of APTC through tax filing is use
of an SSN that does not belong to the enrollee. Our preliminary analysis
of federal Marketplace data identified over 29,000 SSNs (0.21 percent
of SSNs that received APTC) with more than 365 days of insurance
coverage with APTC in plan year 2023. For example, the most frequently
used SSN in plan year 2023 was used to receive subsidized insurance
coverage for over 26,000 days (over 71 years of coverage) across over
125 insurance policies. Further, our preliminary analysis identified
nearly 66,000 SSNs (0.37 percent of SSNs that received APTC) with more
than 366 days of insurance coverage with APTC in plan year 2024.⁽³⁶⁾
This overuse can occur because of identity theft and synthetic identity
fraud, as well as data entry errors.⁽³⁷⁾ Given complexities around
identifying the true SSN-holder, we are further examining these cases
and other instances of apparently overlapping coverage as part of our
ongoing work.
According
to CMS officials, the federal Marketplace does not prohibit new
enrollments that use an SSN that is already enrolled. They further
explained this is done to help ensure that the actual SSN-holder can
enroll in insurance coverage in cases of identity theft or data entry
errors. These officials told us that the federal Marketplace uses a
logic model that analyzes various elements of personally identifiable
information to distinguish individual applicants and enrollees. They
added that they apply this model on a monthly basis to deduplicate
enrollments. Further, applications with SSNs already enrolled should be
addressed through CMS’s existing data matching inconsistency processes,
where applicants provide documentation to support application
information that could not be originally verified.
For
example, enrollees with these overused SSNs should be identified
through CMS’s existing data matching inconsistency processes and
required to submit documentation to substantiate their SSNs. This is
because multiple identities with different personally identifiable
information will not match SSA records for the same SSN. However, our
analyses and identification of enrollments with these overused SSNs
suggests that the data matching inconsistency processes may not always
function as expected. We are reviewing the federal Marketplace’s data
matching inconsistency processes, including overused SSNs, as part of
our ongoing work.
In the age of computers and AI, there's no reason officials can't
identify the real person and cut off the fraudsters. It's laziness and
apathy.
And it gets worse.
To
make matters worse, remember the ObamaCare tax credits that were
supposedly going to cover the plan premiums for low income people?
Well,
it turns out that there is ZERO income verification. They just give you
the tax credit plan even if you provide NO information at all. pic.twitter.com/qOhRtpA3E5
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