Fictitious Enrollees Approved — and Renewed — by HealthCare.Gov

The Government Accountability Office (GAO) ran a two-year sting operation on the federal Obamacare site, HealthCare.gov, and was able to enroll 11 fake applicants using fabricated documents and even leaving some required information out. All 11 were renewed this year, according to a report released yesterday. Six applicants at one point were terminated, but GAO […]

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Obamacare State Exchanges Biting the Dust

Hawaii became the latest state to shut down its online health insurance marketplace after the Centers for Medicare and Medicaid Services (CMS) began cutting back on grant funds because its exchange was out of compliance with the Affordable Care Act (ACA). The Hawaii exchange enrolled only 8,500 persons in the first year of Obamacare, costing the […]

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CMS Claims Grouped Medicare Providers Save Money

An independent evaluation report released by the Department of Health and Human Services (HHS) today reportedly shows that an innovative payment model created as a pilot project by the Affordable Care Act (ACA) generated substantial savings to Medicare in just two years, according to an HHS press release. Additionally, the independent Office of the Actuary in […]

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HHS Says 11.7 Million Signed Up for Obamacare for 2015

Nationwide, nearly 11.7 million consumers selected or were automatically re-enrolled in health insurance coverage through the state and federal Health Insurance Marketplace as of Feb. 22, according to a report released Tuesday by the Department of Health and Human Services (HHS). Of the total, 8.84 million (76 percent) were in states using the HealthCare.gov platform, […]

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CMS Announces Special Tax-Season Obamacare Enrollment Period

The Centers for Medicare & Medicaid Services (CMS) have announced a special enrollment period (SEP) for individuals and families who did not have health coverage in 2014 and are subject to the fee or “shared responsibility payment” when they file their 2014 taxes in states which use the Federally-facilitated Marketplaces (FFM). This special enrollment period […]

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Some 1.2 Million Cost-Conscious Consumers Switch Obamacare Plans for 2015

Of the 4.7 million persons who obtained insurance coverage from HealthCare.gov in 2014, about 1.2 million of them shopped around and switched plans for 2015. Another 1 million did comparison shopping but stuck with their 2014 plans. The unexpected shopping spree was attributed in large part to premium variations. The most successful insurance companies from 2014, […]

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CMS Establishes New Obamacare Open Enrollment Period for 2016 Plans

The Centers for Medicare & Medicaid Services (CMS) have issued the Final HHS Notice of Benefit and Payment Parameters for 2016.  This rule seeks to improve consumers’ experience in the Health Insurance Marketplace and to ensure their coverage options are affordable and accessible. The rule finalizes the annual open enrollment period for 2016 to begin […]

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HHS Beefs Up Privacy on HealthCare.Gov after AP Disclosure

After the Associated Press (AP) reported that HealthCare.gov was unwittingly providing customer privacy information to third-party companies and individuals, the Department of Health and Human Services (HHS) announced that it was adding new layers of security to the site. The privacy data could be viewed by third parties after health insurance consumers visited the Obamacare […]

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CMS Failed to ‘Perform All Required Oversight Activities’ on HealthCare.Gov, OIG Finds

The Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) yesterday released results of its review of the 60 “Federal Marketplace contracts” for HealthCare.gov awarded by the Centers for Medicare and Medicaid Services (CMS), which it said “raised a number of concerns.” The study questioned “the adequacy of CMS’s planning […]

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CMS Obamacare Architect Tavenner to Step Down

Though not subject to the scathing public indictment that Health and Human Services (HHS) Secretary Kathleen Sibelius faced for the Obamacare rollout, Marilyn Tavenner, head of the Centers for Medicare and Medicaid Services (CMS), is resigning a year after her boss Sibelius. She will be replaced on an interim basis by newly hired Obamacare czar Andy […]

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