{"id":113930,"date":"2025-12-16T12:41:28","date_gmt":"2025-12-16T17:41:28","guid":{"rendered":"https:\/\/cablemanpro.com\/wallstreetpr\/house-gop-probes-alleged-obamacare-broker-fraud-as-jordan-presses-major-insurers-for-answers-113930"},"modified":"2025-12-16T12:41:28","modified_gmt":"2025-12-16T17:41:28","slug":"house-gop-probes-alleged-obamacare-broker-fraud-as-jordan-presses-major-insurers-for-answers","status":"publish","type":"post","link":"https:\/\/cablemanpro.com\/wallstreetpr\/house-gop-probes-alleged-obamacare-broker-fraud-as-jordan-presses-major-insurers-for-answers-113930","title":{"rendered":"House GOP probes alleged Obamacare broker fraud as Jordan presses major insurers for answers"},"content":{"rendered":"
\n

Republicans in the House of Representatives want to know if some of the country\u2019s largest Obamacare health insurance brokers are contributing to a dismal picture of fraud spurring the program’s soaring costs.<\/p>\n

The House Judiciary Committee led by Chairman Jim Jordan,<\/a> R-Ohio, sent letters to Blue Shield of California, Centene Corporation, CVS Health, Elevance Health, Kaiser Permanente, Oscar Health Inc. and GuideWell on Monday, demanding detailed information on their enrollment services.\u00a0<\/p>\n

SENATE MULLS NEXT STEPS AFTER DUELING OBAMACARE FIXES GO UP IN FLAMES<\/strong><\/a><\/p>\n

All those companies help consumers sign up for Obamacare\u2019s enhanced health insurance premiums that are at the heart of the committee\u2019s fraud evaluations.<\/p>\n

“Brokers have targeted individuals with deceptive advertisements and pressured enrollees to lie about their incomes to obtain Obamacare subsidies. Evidence suggests that many individuals do not even know they are signing up for health insurance or agreeing to switch plans,” the committee said in a statement.<\/p>\n

The committee has asked the companies to provide how many people they\u2019ve helped sign up for the enhanced premium tax credits, the number of enrolled people who don\u2019t make use of their benefits, internal communications dealing with fraud and abuse, and a list of employees dealing with anti-fraud efforts.\u00a0<\/p>\n

SENATE DEMS’ OBAMACARE FIX FAILS AS SENATE LOOKS FOR OFF-RAMP FROM HEALTHCARE CLIFF<\/strong><\/a><\/p>\n

The Judiciary\u2019s letters come as lawmakers wrestle with whether to extend<\/a> Obamacare\u2019s enhanced premium subsidies \u2014\u00a0even as questions about fraud and other inefficiencies remain \u2014 or to let them expire at the end of the year.<\/p>\n

Congress initially greatly widened Obamacare\u2019s federal assistance in 2021 as an emergency response to COVID-19. Over 90% of Obamacare\u2019s 24 million enrollees now make use of the expanded assistance, according to<\/a> research from the Kaiser Family Foundation.<\/p>\n

Seto Bagdoyan, the director of audit services for the GAO, told Fox News Digital that under the expanded current framework, brokers are incentivized to enroll as many people as possible. He helped author a recent GAO report<\/a> detailing how Obamacare\u2019s administrators have a poor understanding of where federal assistance dollars end up.\u00a0<\/p>\n

“So, the incentive system for brokers is based on commission. They get commission from the subsidies paid to the insurance companies,” Bagdoyan said.<\/p>\n

SENATE DEMS BLOCK REPUBLICANS’ HSA PLAN AS OBAMACARE DEADLINE NEARS<\/strong><\/a><\/p>\n

According to the GAO, as many as 29,000 Social Security numbers (SSNs) in 2023 and nearly 68,000 SSNs in 2024 used to receive more than one year’s worth of insurance coverage with APTC in a single plan year.<\/p>\n

Bagdoyan explained the extent of the fraud and the role brokers play in that picture isn\u2019t well understood, but believes it has contributed to the program\u2019s exorbitant costs.\u00a0<\/p>\n

“The unscrupulous ones will probably go out and run up the score like we think we are encountering through our analysis. [Fraud examples] include not only changes to the agent or broker of record, but also changes to the policies, new policies, and outright fraudulent policies. So that is part and parcel of the broken side,” Bagdoyan said.\u00a0<\/p>\n

The Judiciary Committee has requested a response from the letter recipients no later than Dec. 29.\u00a0<\/p>\n

Fox News Digital reached out to the recipients for comment.<\/p>\n<\/div>\n

Source – https:\/\/www.foxnews.com\/politics\/house-gop-probes-alleged-obamacare-broker-fraud-jordan-presses-major-insurers-answers <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Republicans in the House of Representatives want to know if some of the country\u2019s largest Obamacare health insurance brokers are contributing to a dismal picture […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rop_custom_images_group":[],"rop_custom_messages_group":[],"rop_publish_now":"initial","rop_publish_now_accounts":{"twitter_2902945987_2902945987":""},"rop_publish_now_history":[],"rop_publish_now_status":"pending","footnotes":""},"categories":[16563],"tags":[],"stock_ticker":[],"class_list":["post-113930","post","type-post","status-publish","format-standard","hentry","category-market-news","entry"],"acf":[],"yoast_head":"\nHouse GOP probes alleged Obamacare broker fraud as Jordan presses major insurers for answers - Wall Street PR<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cablemanpro.com\/wallstreetpr\/house-gop-probes-alleged-obamacare-broker-fraud-as-jordan-presses-major-insurers-for-answers-113930\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"House GOP probes alleged Obamacare broker fraud as Jordan presses major insurers for answers - 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