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No one should be able to change your health coverage without your permission. A new report from the nonpartisan Government Accountability Office has confirmed significant fraud in the ACA due to unauthorized Marketplace enrollments. That’s why, before this year’s Open Enrollment, CMS is putting new safeguards in place to... show more
20,074 次观看 • 2 个月前 •via X (Twitter)
31 条评论

If you don’t jail the fraudsters, it will continue

The premiums and deductibles are so high it's like having no benefit at all so who would want to hijack a high premium 10k deductible plan!?

Stop cutting physician pay

Good news and great first step. Thank you!

Oz, my love, you were just in Wisconsin. I know you went to the White area of town because,,,, well, you did not want to seem "racist" - well - I am a medical (surgical- not fraud) device rep. Dear God if you knew what I knew. Now just get to work & stop w/self promotion

Nobody should be expected to pay 1200.00 a month for a premium that gets you no coverage until you pay 10k deductible out of pocket in full before insurance covers a dime. 20K monthly cancer med cost patient 10k for one fill with this benefit plan design. They die.

You wouldn’t believe what’s going on in Morgantown, WV, hospitals. I’ve been going to the ENT there for years and the last time I went in March not only did I have to pay my co-pay. I had to pay a $250 facility fee in which I NEVER had before.

A mute point for working families if they can't afford it. First make it affordable -- not just prices on some pills here and there, but open market health care, at the very least the way it was for everyone, before ACA.

Ill tell you what else is happening. Health Systems like @UnityPointNews are chaeging patients for the "FREE MEDICARE ANNUAL WELLNESS VISIT" for the charges Medicare doesn't pay. When is someone going to change that?

They did changed mine, I wanted a PPO plan and they said it is but when they sent me the contract and card was an HMO that I couldn’t see my doctors for post op care 🤬

Remember: The Democrat economy hides a deadly ACA fraud empire: scammers hijacking Marketplace plans for tens of millions of ghost enrollments, funneling billions to cronies while real Americans lose coverage. No permission, no oversight... ❌their health con is finally crumbling.

No one should force a doctor on me who's name show's where they came from and don't value me as a woman or my opinions on my body my choice . I haven't had a dr. since 2018 because of it . BS about referrals as well. Just give me my shit to get well that day FFS! 🇺🇸 MAGA

There was no fight 🤣🤍✔️

1

Use companies like Chapter which helps people navigate Medicare plans. 845-927-7666 (warroom) He is a data analyst guy whose mom got into wrong program...not incentivized to get you into most expensive one...

@itsmarlamaples It’s worse. Carriers now hide from people policy info what WAS readily available. Now the info is not provided even when requested resulting in folks not getting procedures thinking not covered or being denied coverage when they thought covered. Knowledge now kept from patients

The GAO finding lands differently when you look at what CMS actually built into the 2025 Marketplace Integrity and Affordability Final Rule to respond to exactly this problem. The pre-enrollment verification requirement covering 75% of new special enrollment period applications on the federal marketplace is the mechanical answer to what the GAO documented. But here is where it gets complicated for the people responsible for actually running this: the verification workflow demands real-time integration across IRS data, SSA records, state unemployment systems, and employer payroll providers simultaneously. That is not a software update for legacy marketplace systems. That is a rebuild. Traditional brokers and health plans designed their infrastructure for trust-based, post-enrollment verification and relatively stable transaction volumes. The compressed seasonal surge dynamics created by standardizing open enrollment periods across all exchanges now hit systems built for steady-state processing. The fraud problem the GAO confirmed was partly a product of those architectural assumptions. The $5 monthly premium for automatically re-enrolled consumers who fail to confirm eligibility gets treated as a compliance mechanism. The more precise read is that it creates a mandatory consumer touchpoint with financial consequence, which is exactly the kind of behavioral anchor that supports building legitimate confirmation and advocacy workflows on top of it. Unauthorized enrollments were a real harm to real people. The regulatory response to that harm is also, structurally, a technology market event. Those two things are both true at the same time. More on the startup opportunity this specific rule creates for cloud-native verification platforms:
Im loosing my health coverage in January. HCA has told my insurer they want can't offer insurance and more. Its BSW Insurance (Baylor Scott and White).

Now make it affordable.

Elevate your circle, and you’ll elevate your life @alessiatrading

No one, not even the Government should be able to force you to lose access to life saving Medicaid if you fail to prove you feel too sick to consistently work w/ debilitating bone pain & periorbital edema from cancer treatment.

👍👍👍👍

!

Frankly, I’m totally confused at what I’m covered on!

A step in the right direction.

Damn. Dr Oz is kicking ass!! TY.

FUCK OFF I DONT FUCKING BELIEVE YOU ANYMORE UNTIL YOU KNOW THAT TRUMP IS LIEING THEN I WILL SEE BUT OTHERWISE FUCK OFF

Thank you!!! Because my documents got leaked with an ACA GA agent. My naturalization documents, everything!!!

Thank you!

Agent?

Could we change the whole healthcare system please? First year I couldn’t afford coverage for myself and my family. Additionally, my state NJ will force me to pay penalty for not having health insurance. I’m a cancer survivor.

