After Booting 760K People From ACA Plans, Trump Administration Has Added Some Back
The Trump administration has provided few details about its process for canceling hundreds of thousands of Affordable Care Act marketplace enrollments — even as the next stage of the anti-fraud effort is underway.
In June, the Centers for Medicare & Medicaid Services (CMS) selected nearly 1.2 million ACA enrollments for further review due to potential fraud indicators. These indicators included missing Social Security numbers, involvement of brokers, no premium payments, and lack of contact with insurers. CMS instructed insurers to review these accounts and reach out to the affected individuals using multiple methods, such as phone calls and letters.
Policyholders were given 30 days to respond and provide any missing information. If enrollees failed to respond, they were disenrolled by CMS. Texas-based Marketplace Insurance Exchange reported that they reached out to their clients on behalf of insurers, but struggled to contact about 60 individuals, some of whom were overseas.
The review process aims to identify and disenroll individuals who may not have a valid enrollment, with the administration providing limited details on the cancellations. Critics argue that the transparency of this process is lacking, while supporters emphasize the importance of addressing fraud in government programs.
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