8legs: Centers for medicare & medicaid services

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#1 out of 3

GAO found that 29,000 SSNs in 2023 and about 68,000 in 2024 were used to receive more than one year of APTC in a single plan year.
During a fake-account test, 18 of 20 fictitious applicants remained actively covered, with APTC totals over $10,000 per month for those accounts.
The GAO stressed that its findings cannot be generalized to the entire enrollee population and highlighted potential fraud risk in Obamacare.
The report notes more than $94 million in APTC funding went to SSNs associated with deceased recipients in 2023.
GAO found that the marketplace allowed one SSN to enroll in more than one policy to mitigate identity theft or data-entry errors.
The GAO said its findings cannot be generalized to the enrollee population and urged ongoing monitoring.
The report coincides with a Senate vote on extending Obamacare tax credits, which Republicans oppose.
The GAO assessed real-world fraud and tested fake accounts to gauge program integrity.
Experts noted the findings relate to debate over extending subsidies and overall healthcare costs.
The GAO emphasized that some data limitations exist and that further monitoring is needed.
The GAO's work involved real-world enrollment data and controlled testing to assess fraud risk.

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#2 out of 3

Enrollment for 2026 is modestly higher than last year by day 29, with nearly 5.8 million people enrolled.
Enrollments remain uncertain as subsidies expire, which could push premiums higher for many.
Experts caution the early numbers are only a snapshot and may not reflect eventual enrollment.
Older, sicker individuals may enroll earlier, influencing early enrollment figures.
Congress debates extending enhanced subsidies as the year-end deadline approaches.
Subsidies are currently helping many enrollments but expire at the end of 2025.
Enrollment window allows start dates through Jan. 15 for some plans.
By comparison, 7.3 million had enrolled 32 days into enrollment two years ago.
Experts note enrollment patterns may involve plan changes and delays in subsidy impact.
The open enrollment period remains ongoing, with state differences and potential late shifts.

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#3 out of 3100.00%

Colorado competes for a share of a $50 billion federal rural health care fund, distributed over five years.
Half the money will be distributed evenly to states that submit qualifying applications.
Colorado is expected to receive about $46 million per year based on need, plus at least $100 million annually for meeting requirements.
The second half of the money will reward innovation and partnerships in the CMS application.
Colorado’s rural hospitals face financial challenges, but closures have not occurred in decades.
State officials say funds must not be used for Medicaid costs or direct provider payments beyond limits.
Colorado aims to use money for rural health networks, prevention, and better payment models.
The federal government will announce funding amounts by December 31.
Colorado’s ranking for need-based funding and the amount per year depend on competition and state performance.

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