Healthcare DIVE December 4, 2025
The GAO successfully enrolled 18 out of 20 fake applicants in subsidized ACA plans. Republicans jumped on the report as ammunition in the debate over expanded subsidies.
Republicans have fresh ammunition to argue that the Affordable Care Act exchanges are dotted with fraud thanks to a new report from a government watchdog.
It’s easy to get around guardrails in the ACA exchanges meant to prevent improper enrollments, according to the Government Accountability Office’s preliminary findings from months of investigation published on Wednesday.
GAO investigators arrived at their conclusions after successfully enrolling almost 20 fake individuals in subsidized coverage and reviewing marketplace data over the last few years.
The watchdog’s report is not evidence of the rampant fraud asserted by some...
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