The Great Obamacare Enrollment Fraud referenced in Fierce Healthcare – July 3, 2024

On July 3, 2024, Paragon’s “The Great Obamacare Enrollment Fraud,” by Brian Blase and Drew Gonshorowski, was referenced in Fierce Healthcare.

From the article:

Zero-premium plans are paid by taxpayers as a result of increased subsidies for insurers through 2025 from Democrat-passed laws, the lawmakers wrote. They point to a report from the Paragon Health Institute finding improperly enrolled individuals in zero-premium plans account for $15 billion to $20 billion per year, with the figure potentially rising to $26 billion.

The report revealed there are nine states with enrolled individuals reporting income above the federal poverty line exceeding the number of potential enrollees. In Florida, there are four times as many enrollees reporting income in that range.

Enrollees that receive the maximum subsidy receive a plan with lower cost-sharing, and the IRS only recaptures a “portion” of the excess subsidy, the Paragon institute explained. Brokers only need basic information like a name, date of birth and address to enroll people in the wrong coverage. Brokers often earn commission when a person switches plans.

The full article can be found in Fierce Healthcare.