• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • News
  • Topics
    • Common Sense
    • Congress
    • Debt
    • Government waste
    • Millenials
    • QuizCap
    • Taxes
  • Tools
    • Agencies
    • Memes That Matter
    • Research Library
    • Scavenger Hunt
  • Shop
  • What We’re About
  • Multimedia
  • What We’re About
  • Contact Us
  • Newsletter signup
  • Give to the Cause

GAO: Medicaid and insurance Exchanges: Additional Federal Controls Needed to Minimize Potential for Gaps and Duplication in Coverage

October 1, 2015

Pursuit's Take

CMS’s policies and procedures do not sufficiently minimize the potential for coverage gaps and duplicate coverage in federal exchange states. GAO found that individuals transitioning from Medicaid to exchange coverage—that is, private health insurance purchased through the exchanges created under the Patient Protection and Affordable Care Act (PPACA)—may experience coverage gaps, for example, if they lose Medicaid eligibility toward the end of a month. Individuals who experience coverage gaps may decide to forgo necessary care.

In addition, GAO found that some individuals had duplicate coverage, that is, were enrolled in Medicaid while also receiving federal subsidies for exchange coverage. While some amount of duplicate coverage may be expected during the transition from exchange to Medicaid coverage and is permissible under federal law, GAO found that duplicate coverage was also occurring under other scenarios.

Media Coverage

NBC News: Obamacare Insurance Markets Still Vulnerable to Fraud, Experts Say

Read the full report Artboard 1

sidebar

sidebar-alt

Support Our Work

Federal agencies go largely unchecked, spending at will making use of inflated budgets. While some do very important work, we need to hold them accountable. You can do this by donating, emailing your legislator, or signing our petitions.

Donate Now

Sign Up for Pursuit Updates

Privacy Policy

Powered by the Foundation to Restore Accountability

Search
UNCOVER SOME GOVERNMENT WASTE?
share your opinion

Can you believe the US Government spends more money on it’s cable bill than on disaster relief?

NO! I’M FURIOUS! Eh, sounds right