Politico December 11, 2025
State health care exchanges say they have few problems with fraud. Instead of killing the subsidies, policy experts suggest fixing the federal exchanges instead.
Republicans argue that enhanced Obamacare subsidies need to die, partly because they have fueled an explosion of fraud.
Officials with the state-run health care exchanges say they haven’t experienced that problem.
Fraud is primarily an issue on the federally run exchanges, HealthCare.gov, due to lax enrollment verification and other systemic problems, state officials counter. Most of the 20 states that run their own exchanges have done a much better job of fraud-proofing, they and health policy experts say.
“I don’t think that our experience or our data shows there has been any increase in fraud …...
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