It comes amid a broader crackdown on the ACA exchanges as the Trump administration continues its efforts to identify “fraud, waste and abuse” in federal programs.
No one is losing health insurance coverage based on the Trump administration’s latest crackdown, CMS Administrator Mehmet Oz said at the press conference. “What we are doing is saving a lot of money,” he said.
The Trump administration has focused on culling enrollees it says are receiving subsidies fraudulently, or kicking people off ACA plans altogether in its broader efforts to identify “fraud, waste and abuse” in federal programs.
Last year, the Trump administration revoked subsidies from about 551,000 enrollees it said were enrolled in Medicaid and receiving duplicate ACA subsidies.
And late last month, the Trump administration said it was terminating ACA coverage for more than 760,000 people, saying their enrollment was unauthorized.
The CMS is legally required to periodically analyze data on the ACA exchanges in order to root out any overlapping coverage, like those also enrolled in Medicare or Medicaid. The first Trump administration explicitly required exchanges to conduct periodic data matching twice a year.
Overlapping Medicaid coverage accounted for roughly 120,000 of the total cases this year, according to CMS officials. About 58,000 cases concerned duplicate Medicare coverage and about 11,000 involved deceased enrollees, CMS officials said.
Duplicate enrollees are contacted by the CMS and have 30 days to respond. CMS also contacts the estate of any deceased enrollee, and they also have 30 days to dispute the record until their subsidies and plans are canceled.
Source link







