The Greater Obamacare Enrollment Fraud

This paper updates a previous report about fraudulent enrollment in ACA exchange plans, driven by enhanced subsidies and administrative actions. What This Paper Covers In last year’s The Great Obamacare Enrollment Fraud, we uncovered the Obamacare exchanges were riddled with fraud stemming from improper enrollment. Using the latest release of government data, we have found that this improper enrollment and fraud surged over the past year—rising by more than one-quarter to now total nearly 6.4 million ineligible recipients. Improper enrollment and fraud are particularly egregious in states using the federal exchange (HealthCare.gov), especially those that have not expanded Medicaid. This paper reviews the basic enrollment mechanics and perverse incentives of Obamacare subsidies. From its inception, Obamacare provided large subsidies for lower-income people to buy coverage in the exchanges. COVID-era legislation, signed into law by President Biden, substantially increased these subsidies

Private Health Reform Initiative Reforming Government. Empowering Patients. The Fraud Got Much Worse in 2025 Navigation The Greater Obamacare Enrollment Fraud The Fraud Got Much Worse in 2025 The Paper Executive Summary What This Paper Covers In last year’s The Great Obamacare Enrollment Fraud, we uncovered the Obamacare exchanges were riddled with fraud stemming from improper enrollment. Using the latest release of government data, we have found that this improper enrollment and fraud surged over the past year—rising by more than one-quarter to now total nearly 6.4 million…

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