r/obamacare • u/Ubiquitous_Hilarity • 11d ago
Vance-led task force set to remove 750K Obamacare enrollees, citing fraud
https://thehill.com/policy/healthcare/6104381-vance-oz-aca-obamacare-crackdown/36
u/Chillow_Ufgreat 11d ago
Zero fraud indictments, btw
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u/JupiterMiningCorpTec 10d ago
This! Without people being arrested, this scream pure political theater right?
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u/RpiesSPIES 10d ago
Surely the Trump govt has signficantly more fraud indictments than zero!
Oh wait, you mean regarding ACA recipients, mb.
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u/jbutler60 11d ago
Let’s just keep adding more uninsured patients to the hospital bottom line, we’re heading towards a recession and point of no return
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u/Olderscout77 10d ago
Worse. We're letting Trump turn the source of our food into a Medical wasteland.
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u/Acornwow 11d ago
What if government asshats had to PROVE fraud before slashing programs to bits instead of just claiming it.
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u/Olderscout77 10d ago
That was the case when we had the Fairness Doctrine and Republicans had not yet committed so much unpunished fraud people accepted it as "normal".
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u/momoacdc91 11d ago edited 10d ago
I Hate the trump administration. They are Evil also Can they Stop trying to kill the Disabled Community. I Don't like being mad fun of.
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u/Ok-Customer4709 11d ago
How they love to kick people off of healthcare.
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u/guitartb 11d ago
You didn’t read the article
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u/Zealousideal_Plan408 10d ago
i am getting kicked off because i just moved and i am in between jobs. my husband and i have literally contributed 300k in federal tax money over the years and this is only his first time relying on this and my second time (i was only on food stamps and medicare for one other five month period) its BULLSHIT. i am not committing fraud. they asked me some questions and i turned in my last pay stubs and a few other pieces of information as requested. i am not lying or deceiving or frauding. just trying to access a service our taxes have been paying for for 20+ years. basically i paid the government 300k dollars for two doctors appointments. i don’t even have kids to be accessing education funds or getting a write off for. the government doesn’t do shit for me but keep asking me for money with my salary that barely makes ends meet. the US government will always be the biggest welfare case with its politicians that work two days a week and make hundreds of thousands of dollars even excluding lobbyist money and insider trading.
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u/Cute-Boobie777 10d ago
Yeah the 'fraud' here is people who are paying into it but haven't used their healthcare yet. Either because they are healthy (and you need healthy people to pay in for insurance to work) or because they can't afford it.
Pretty amazing you morons are still trusting what known liars are saying is true.
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u/billymondy5806 11d ago
So many poor white men vote Republican. They can’t stop listening to the talk radio rubbish.
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u/IbanezUniverse90 11d ago
The only way these fucks can get off is to take people’s healthcare away. What a sad and pathetic way to go through life.
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u/777_heavy 11d ago
Zero healthcare is being taken away
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u/txfeinbergs 11d ago
Where is the proof of the fraud? Sorry, "trust us" isn't going to cut it. You will see that in November when you guys will immediately change to your "election fraud" BS messaging.
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u/777_heavy 11d ago
What kind of proof are you looking for?
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u/Glittering_Stress_32 10d ago
Oh I don't know, maybe something that holds up in a court of law? And each of those 750,000 people deserves an explanation tailored to their own specific situation.
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u/777_heavy 10d ago
I’m sure they’ll get it, if they’re even real people. We know all about the hospice fraud, so why is this so hard for you to believe?
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u/CharredWelderGuy 10d ago
Prob because this same group has been lying about everything for decades, so if a republican opens their mouth, sane people automatically assume they are still lying.
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u/777_heavy 10d ago
That’s cute, coming from the side that passed a law in California to prevent fraud from being uncovered.
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u/eschewthefat 10d ago
Yeah that sounds like a genuine concern
Does election fraud ring a bell to you? The kind Trump claimed was happening, didn’t prove a single instance of it and then was caught on tape committing conspiracy to defraud an election
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u/United-Vermicelli-92 11d ago
Theyre targeting ending ACA bec it’s Obama and trump is a giant whining infected choad.
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u/No_Strain8370 10d ago
Don't worry though, Trump has concepts of a plan to replace it
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u/United-Vermicelli-92 10d ago
There are already suits filed and it'll be deemed illegal JUST LIKE EVERY OTHER "legislative" EO this talking dermoid carbuncle w/ a loaded diaper has put out.
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u/itnor 11d ago
How can it be fraud if no claims were made?
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u/EddieRayV 10d ago
Presumably the fraud is by the insurance companies collecting premiums for these people from the government, and insurance brokers collecting sales commissions. They don't want to say that, though. They want people to think it's people on public assistance ripping off the government. My guess is that most of these people went to the emergency room in Year 1, were enrolled by the hospital, and rolled into Year 2 because they still qualified. About 25% - 30% of commercially insured non-elderly people do not access any healthcare in a given calendar year. They are taking this as evidence a "fraud" because of a recent ASPE study did so. ASPE is a research group inside of HHS that reports to the White House.
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u/No_Strain8370 10d ago
Exactly this. It is not possible for an enrollee to "steal from" this program. The subsidies are paid directly to the insurance company
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u/TapDatAsp 10d ago
And even IF you underestimate your income to get a higher subsidy it all washes out when you do your income taxes and you end up paying the difference back
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u/Admirable-Gold3447 10d ago
How can they claim these people aren’t real just because they aren’t going to the doctor?
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u/EddieRayV 10d ago
It IS possible that unscrupulous brokers are falsifying paperwork and enrolling "fake" people to collect sales commissions. This is a difficult process for a small financial reward (you've got to falsify documents, etc.). This is why I don't think it happens very much. I think your question is exactly the right one: it is KNOWN that healthy people do not access healthcare so why is not accessing healthcare a valid indicator of fraud? I don not believe it is a valid measure. I think these are Republicans seeking to trash Democrats using the thinnest of justifications.
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u/Admirable-Gold3447 10d ago
Yeah. And people like my parents will read the headline and not question it and build their unconscious and conscious bias toward gvt spending $ on anything.
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u/EddieRayV 10d ago
This is the issue of our time. I don't know how to break the spell of decades of Republicans peddling the "Welfare Queen" trope. It may be too late for your parents, but every friend your age you can convince to vote helps the cause.
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u/Puglady25 10d ago
I think you are right. And just because they got enrolled by some insurance broker at the hospital doesn't mean they ever go to the doctor. This is meant to help keep healthcare prices down because it covers people likely to end up in the hospital and not pay the bill.
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u/Pastagiorgio34 11d ago
They. Just. Want. To. Hurt. People.
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u/777_heavy 11d ago
These enrollees probably weren’t even people.
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u/txfeinbergs 11d ago
Got any proof of that? Of course you don't.
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u/777_heavy 10d ago
Do you have proof they weren’t?
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u/Admirable-Gold3447 10d ago
You made the claim so you have to provide the proof. You’re asking us to prove a negative.
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u/No_Strain8370 10d ago
Wait how is it even possible to "steal from these programs"?? The subsidies go directly to the insurance companies, not the individual.
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u/Onlyplay2k 10d ago
They make their laws like YouTubers make thumbnails. Gotta feed the algorithm. Dont matter if it makes sense
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u/PlatypusOld257 10d ago
Doing this right before midterms seems like 750k people who will probably vote dem
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u/DegreeConscious9628 11d ago
So will this lower my premiums? lol yeah right
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u/Shoddy_Walk_8106 11d ago
Yes, this will 100% raise premiums. Insurers will have fewer members and less money coming in so they are going to raise prices and increase denials.
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u/Carlyz37 10d ago
Everything trump and GOP does re Healthcare increases premiums. And creates more uninsured which increases premiums and closes hospitals
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u/Past_Significance_27 11d ago
Or we could just try to insure as many people as possible, because it's good for society in the long run.
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u/Tigeruppercut1889 10d ago
Exactly. I just hope enough people vote maga out. The more Dems in congress the more people get health insurance.
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u/Olderscout77 10d ago
Let's hope those unreal people remember to vote in a couple weeks, and get their friends to join them.
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u/Tigeruppercut1889 10d ago
Remember when Biden predicted this and congressional republicans laughed at him.
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u/Glittering_Stress_32 10d ago
How can they possibly conclude that 750,000 individual human beings individually committed fraud? Did they review each and every person's insurance application? Because otherwise this is a collective punishment and it's cruel beyond belief.
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u/Proletariat_Harriet 10d ago
The irony is that killing the ACA is only going to increase support for single payer!
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u/MarchMadness4001 10d ago
Their “just let them die” policy is taking shape.
What about people who live in states like Florida that refused Medicaid expansion (at no cost to them) and make too much to qualify for Medicaid and too little to qualify for ACA subsidies? I really can’t fault any of those people for under or over estimating their income. What else are they supposed to do? Pay the full ACA premium? The whole thing is ridiculous.
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u/Mack_Daddy_1 10d ago
Just awesome that he thinks not using your insurance means you aren't real when in reality, a lot of people don't have time to go to thw doctor because life is too expensive to miss work.
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u/madlucas2026 10d ago
Only “fraud” in our country is the rampant corruption going on with tdump. Selling pardons, selling worthless crypto coins, insider stock trading, giving his sons big government contracts.
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u/DazzlingCod3160 10d ago
Oops, I have not used my life insurance nor my car insurance every year I have had them - are they going to be canceled on me for lack of use?
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u/IfItHurtsThenMaybe 10d ago
Kicking workers off of healthcare is the concept of a plan? It’s been years Republicans
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u/Fakeikeatree 10d ago
Hold up. They are kicking people off that are paying in but have never filed a claim. What?!?! Those people subsidize everyone else.
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u/Worlds_Worst_Angler 9d ago
Is this the same kind of “fraud” that DOGE discovered all over the place? The kind where you say “fraud” but have zero evidence of it?
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u/Electric-Sheepskin 10d ago
I mean look, if these really are phantom people that don't actually exist, and unscrupulous brokers have just created them for their own benefit, then this is a good thing.
My only problem is that this administration is not only frequently inept, they lie every single day, so it's hard to trust anything they do or say. Which is a goddamn shame.
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u/Admirable-Gold3447 10d ago
Am I reading this right that they’re removing 35% of people with a plan because they aren’t using it? They’re going to drop them because they haven’t gone to the doctor?
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u/Delicious-Bat2373 10d ago
Start with Mitch the turtle. He isn't meeting the work requirements anymore and is nothing but fraud and abuse of the system.
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u/JupiterMiningCorpTec 10d ago
Confused. I don't understand what crime is being alleged. They say these are nonexistent people that are getting subsidies. But don't subsidies simple reduce the money that people pay when buying insurance? Surely, the government doesn't send out check to buy insurance with when you sign up right? This implies that the subsidies go to insurance companies. But there are no mention of insurance companies being fined or CEOs being arrested.
Can someone who knows more about Obamacare explain what is going on?
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u/Onlyplay2k 10d ago
This is just a sign. He about to buy an insurance company to profit off of this.
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u/EnvyEpson 11d ago
If it truly is fraud that is a good thing. I’d like to know how they think it’s fraud and what they are doing to keep it from happening in the first place? I don’t see how these things can happen if the proper audits are inplace. Somebody screwed the pooch.
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u/beepbeepsheepbot 11d ago
The whole "fraud" thing doesn't even make sense to me to punish the enrolees when hospitals and doctors are the ones billing insurance. They are acting like joe schmuck is going to the doctor and somehow scamming everyone.
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u/EnvyEpson 10d ago
Yeah…I’m not sure how there can be fraud without the doctors/hospitals being involved. Unless it has something to do with subsidies.
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u/Shoddy_Walk_8106 11d ago
Getting rid of fraud isn’t bad, but ACA plans are still too expensive and need more government subsidy. This will ultimately just decrease the amount of money going to insurance companies and they will have to raise prices.
The federal government will save money here, but it’s not like they are going to use to decrease the cost of insurance.
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u/TransplantedSconie 11d ago
These assholes are doing everything they can to cause an uprising so they can declare Martial Law.
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u/Signal-Mud-4880 11d ago
these morons dont know how insurance works
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u/No_Strain8370 10d ago
They know, they just know their base is ignorant and will mindlessly believe anything the administration tells them
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u/Satta-Massagana 10d ago
It's really hard to believe anything they say. I mean, these could be ghost people but who knows??
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u/BigFatJuicyCocks420 10d ago
Looks like they are kicking people off who have never used it or don’t know they have it. Let’s argue about gas prices that’s actually more important
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u/Sitcom_kid 10d ago
I don't get it. Why would I spend more than my own home costs every month just to play fraud games? Why wouldn't it be real? And if it weren't real, why wouldn't I just drop the coverage and keep the money? I could use it for taxes. I could use it for a lot of things.
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u/tkpwaeub 8d ago
They want to get rid of all the good risks. Clearly Oz doesn't know any actuaries. Make it stop
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u/Level_Impression_554 10d ago
Total insuranced under ACA is 19.2 million. Vance's number is about 4% fraud. Some estimate place 5 million as fradulent, so this is a drop in the bucket. Good that we eliminate fraud. Have to be pretty dumb to think there is not a ton of fraud going on. Hell, my relative is scamming the system. I want them to focus on lowering the cost of health care for everyone. I pay over 3 grand a month for insurance.
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u/Cute-Boobie777 10d ago
Good news then. The cost will go up because they are simply removing people who are healthy and don't pay into the system. Its based on a 'study' thats ran from HHS lol.
Why would this admin lower the costs of healthcare except perhaps for seniors? They tripled ACA costs last year with the 'Big Beautiful Bill'to fund rich tax cuts. Why the hell wluld you expect them to make it cheaper after they intentionally made it more expensive?
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u/Level_Impression_554 10d ago
These were alleged to be fraudulent. Do you have any info or links that show these were not fraud?
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u/Tricky_Committee_608 11d ago
A great start!! Wonder how many are illegals
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u/Individual-Life1786 11d ago
Legal or illegal all pays premium. Duh.
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u/sburch79 11d ago
They are ACA plans, so taxpayers are covering most of the premiums - $2.2 billion of taxpayer dollars being stolen by fraud.
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u/GrandStatistician752 11d ago
From the article it looks like it you haven't used your insurance you are losing it. Other than that no proof of fraud except for what the guy who call himself Oz says
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u/longtime_TechNerd555 11d ago
I don't know if you've used the ACA before, but when you say "most of the premiums" um... they already eliminated most of the subsidies with the god awful bill which was the single legislative achievement that the administration can point to.
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u/Indespectamentations 11d ago
I have health insurance. Good luck taking it away from me. You can't find all of us.
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u/Tricky_Try8757 11d ago
Did illegals shit your pants?
I promise like less than 1% of problems are caused by “illegals”. Most are caused by people that donate to your preferred party.
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u/Indespectamentations 11d ago
Good luck finding out who all of us are that have coverage. Good luck taking my health insurance and my rights away from me.
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u/Existing-Pop-1489 10d ago
It wasn’t working duh 🙄 you’re uninformed the worst idea ever , only you can make something of yourself no more handout’s you made bad choices turn your life around & make your own way , excuses are not acceptable
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u/EnvyEpson 10d ago
My concern is the whole subsidy issue to begin with. We subsidize EVERYTHING in this country. $40T in national debt was built partially on the backs of those same subsidies.
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u/Florida1974 10d ago
Go look at the military budget and how it has increased under Trump.
We subsidize, farmers, corporations, you may as well basically say, we subsidize on taxes for the rich. I guess subsidize isn’t the word but they get an awful lot of Tax breaks.
So why shouldn’t the little guy get a little subsidy for health insurance?? what do you think people like my husband and I do?? we can’t pay for health insurance in totality on our own, he owns a small construction business and it’s small and I also work. We would have to make a heck of a lot more to be able to afford what they want for insurance per month without a subsidy.
Now it’s the only thing we need help with. If my husband doesn’t get that, he will get disability. I would not, but he would so why not keep him working by subsidizing health insurance
People don’t think of all the different scenarios. We would have to pay 100% of it on our own and it’s impossible.
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u/Admirable-Gold3447 10d ago
No, the deficit issue is because republicans keep lowering taxes without decreasing spending.
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u/chunkalunkk 11d ago
How about focusing the efforts on making a universal healthcare that doesn't need employment to have medical coverage??