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Fictitious Applicants Able to Get U.S. Health-Insurance Tax Credits

Source: online.wsj.com - Jul 25, 2014

Fictitious applicants who went on the federal exchange set up under the Affordable Care Act were able to fraudulently get approved for coverage and health-insurance tax credits, according to a new report.

The exchange approved coverage for 11 fictitious applicants who applied online or by telephone to obtain coverage, according to a Government Accountability Office report reviewed by The Wall Street Journal. The applicants were able to obtain premium tax credits, which are provided to defray premium costs. They were able to gain coverage by phone, though not online.

The investigation will be the focus of a House Ways and Means subcommittee hearing Wednesday on the potential for waste and fraud in the subsidies. Republicans opposed to the health law say the GAO's findings are evidence of the government's inability to verify information, which they say creates the potential for fraud and abuse.

"Obamacare is a mess," said Rep. Charles Boustany, Jr. , (R., La.). "Its broken structure invites waste, fraud, and abuse that will cost the American taxpayer millions in subsidies to individuals whose eligibility the Administration won't bother to verify."

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Category: General Business

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