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The Department of Health & Human Services' Office of Inspector General released a transcript of testimony given to Congress on health insurance marketplaces. The news is not good.
More specifically, OIG reported on internal controls in place from October – December 2013 and concluded that internal governmental controls in certain geographic locations were not entirely effective in ensuring that federal enrollment requirements were being satisfied. OIG's biggest concern was that these failures compromised the marketplaces' ability to prevent the use of fraudulent information.
OIG was also concerned that health insurance marketplaces which did identify inconsistencies between self-attested information and available data were not fully able to resolve these inconsistencies. The most common inconsistencies related to citizenship and to income.
Apparently, preventing fraud in the health insurance context remains a difficult process, indeed.
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