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	<title>FrontPage Magazine &#187; HHS</title>
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		<title>ObamaCare: A &#8216;Signature Achievement&#8217; of Unaccountable Bureaucracy</title>
		<link>http://www.frontpagemag.com/2014/arnold-ahlert/obamacare-a-signature-achievement-of-unaccountable-bureaucracy/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=obamacare-a-signature-achievement-of-unaccountable-bureaucracy</link>
		<comments>http://www.frontpagemag.com/2014/arnold-ahlert/obamacare-a-signature-achievement-of-unaccountable-bureaucracy/#comments</comments>
		<pubDate>Fri, 04 Jul 2014 04:54:33 +0000</pubDate>
		<dc:creator><![CDATA[Arnold Ahlert]]></dc:creator>
				<category><![CDATA[Daily Mailer]]></category>
		<category><![CDATA[FrontPage]]></category>
		<category><![CDATA[application]]></category>
		<category><![CDATA[glitch]]></category>
		<category><![CDATA[HHS]]></category>
		<category><![CDATA[illegal immigrant]]></category>
		<category><![CDATA[inconsistency]]></category>
		<category><![CDATA[Obamacare]]></category>
		<category><![CDATA[process]]></category>

		<guid isPermaLink="false">http://www.frontpagemag.com/?p=235567</guid>
		<description><![CDATA[Massive amounts of "inconsistent data" remain irreconcilable.]]></description>
				<content:encoded><![CDATA[<p style="color: #232323;"><a href="http://cdn.frontpagemag.com/wp-content/uploads/2014/07/o-OBAMACARE-WEBSITE-facebook.jpg"><img class="alignleft  wp-image-235569" src="http://cdn.frontpagemag.com/wp-content/uploads/2014/07/o-OBAMACARE-WEBSITE-facebook-446x350.jpg" alt="Obamacare Expedited Bid Process Limited Who Could Build Website" width="283" height="222" /></a>A little over a week ago, <a href="http://www.breitbart.com/Big-Government/2014/04/28/Obamacare-s-Backend-Still-Missing-Deadline-Uncertain"><span style="color: #1255cc;">reports</span></a> surfaced revealing that the so-called “back end” of the <a href="http://healthcare.gov/"><span style="color: #1255cc;">Healthcare.gov</span></a> website remained months away from being completed. On Tuesday, the consequences of that ongoing fiasco were revealed. A pair of reports released by the Department of Health and Human Services&#8217; (HHS) Office of Inspector General (OIG) reveal “internal” controls for evaluating healthcare applications are <a href="http://www.washingtonpost.com/national/health-science/health-care-exchanges-are-not-properly-ensuring-applicants-eligibility-probe-finds/2014/07/01/d7f83672-0127-11e4-8572-4b1b969b6322_story.html"><span style="color: #1255cc;">ineffective</span></a>, and 85 percent of 2.9 million data “inconsistencies” on ObamaCare applications cannot be <a href="http://nypost.com/2014/07/02/85-percent-of-obamacare-inconsistencies-cant-be-fixed/"><span style="color: #1255cc;">resolved</span></a>, even after nine months of attempting to do so.</p>
<p style="color: #232323;">“The federal marketplace was generally incapable of resolving most inconsistencies,” one OIG <a href="http://oig.hhs.gov/oas/reports/region9/91401000.pdf"><span style="color: #1255cc;">report</span></a> said. “Without the ability to resolve inconsistencies in an applicant’s eligibility data, the marketplace cannot ensure that an applicant meets each of the eligibility requirements for enrollment in a QHP [qualified health plan] and when applicable, eligibility for insurance affordability programs.”</p>
<p style="color: #232323;">For clarity sake it should be noted that 2.9 million inconsistencies <a href="http://washingtonexaminer.com/hhs-inspector-general-reports-millions-of-data-inconsistencies-in-obamacare-applications/article/2550366"><span style="color: #1255cc;">does not mean</span></a> there are 2.9 million applications in error. Due to the series of questions applicants are asked about their citizenship, Social Security number, income or incarceration status, it is possible that some applications may have multiple inconsistencies. Furthermore, those inconsistencies may not be inaccurate information, but rather data that cannot be matched with government sources from numerous agencies. &#8220;In some circumstances, the marketplace cannot verify an applicant’s information through available data sources,” the other <a href="http://oig.hhs.gov/oei/reports/oei-01-14-00180.pdf"><span style="color: #1255cc;">report</span></a> explained. &#8220;When this happens, it is referred to as an inconsistency. This may arise when Federal data available through the Data Hub or data from other sources are unavailable or do not exist, or because the information on the application does not match the data received through the Data Hub or from other data sources.&#8221;</p>
<p style="color: #232323;">The two most prominent unresolved inconsistencies were “citizenship and income.”</p>
<p style="color: #232323;">Only citizens and those with legal residence in the United States are eligible for ObamaCare. Yet in keeping with his determination to send America&#8217;s illegal alien population mixed messages, President Obama <a href="http://www.weeklystandard.com/blogs/obama-promises-illegals-obamacare-sign-info-wont-be-used-deportation_784228.html"><span style="color: #1255cc;">promised</span></a> during a March interview with Telemundo that &#8220;none of the information that is provided in order for you to obtain health insurance is in any way transferred to immigration services,” he explained. &#8220;So that&#8217;s something we&#8217;ve been very clear about. If you live in a mixed status family, then the son who could potentially be eligible for the children&#8217;s health insurance program or some other mechanism to get health insurance, he needs to be signed up. And the mother should not be fearful that in any way that&#8217;s going to affect—of course I understand the fear.”</p>
<p style="color: #232323;">That fear didn’t prevent 4000 illegals in Oregon from being signed up when state officials “accidentally&#8221; steered them from Medicaid to ObamaCare, despite the reality that the applications were hand-processed—because the state’s computers were offline and its software architects under investigation for possible fraud. And DHS Secretary Jeh Johnson <a href="http://latino.foxnews.com/latino/politics/2014/02/28/homeland-security-czar-enrolling-in-obamacare-wont-put-undocumented-family-at/"><span style="color: #1255cc;">doubled-down</span></a> on Obama&#8217;s message in an open letter to the same “mixed status families,” before taking it one step further. “Enrolling in health coverage . . . will not prevent your loved ones who are undocumented from getting a green card in the future or who do not yet have a green card at risk,” he promised.</p>
<p style="color: #232323;">As for income, proper information is necessary in order to determine one’s eligibility for taxpayer-subsidized health insurance, as well as ongoing subsidies of one’s monthly premiums. As recently as last month the <i>Washington Post</i> <a href="http://www.washingtonpost.com/national/health-science/federal-health-care-subsidies-may-be-too-high-or-too-low-for-more-than-1-million-americans/2014/05/16/8f544992-dd14-11e3-8009-71de85b9c527_story.html?hpid=z1"><span style="color: #1255cc;">reported</span></a> that more than one million Americans may be getting incorrect subsidies because the incomes they reported &#8220;differ significantly” from those on file with the IRS. And while the government requires enrollees with discrepancies to verify their information within a 90-day window, only a fraction have done so. Yet the <i>Post</i> reveals that even those who have complied remain in limbo, because “important aspects of the website remain defective — or simply unfinished.”</p>
<p style="color: #232323;">The report seemingly updates that assessment, noting that the &#8220;number of applicants who may have exceeded the 90-day inconsistency period or for whom the inconsistency period was extended by the federal marketplace because the applicant demonstrated a good-faith effort in obtaining satisfactory documentation” remains undetermined.</p>
<p style="color: #232323;">The spectacular failure of the website’s front end last October necessitated the diversion of all resources to fix it, delaying the completion of the back end. A January deadline for addressing the problem soon became mid-March. But by mid-April, when <i>Politico’s</i> Kyle Cheney <a href="http://www.politico.com/story/2014/04/healthcaregov-obamacare-affordable-care-act-106036.html"><span style="color: #1255cc;">asked</span></a> officials at the Centers for Medicare &amp; Medicaid Services (CMS) when they expected the back end to be ready, they refused to give him an answer. As a result the government will use an “interim&#8221; accounting process that amounts to a combination of working by hand, and using informed guesses to resolve the inconsistencies.</p>
<p style="color: #232323;">Insurance industry consultant Robert Laszewski illuminates what will likely happen when the permanent system is finally engaged. “We have the mother of all reconciliations coming,” he predicted. “It may be that the administration will not be able to give us a credible enrollment number until then because we really need a reconciliation to accomplish that.”</p>
<p style="color: #232323;">In other words, the 8 million signups touted by <a href="http://www.bizjournals.com/bizjournals/washingtonbureau/2014/04/8-million-obamacare-enrollees-give-obama-something.html?page=all"><span style="color: #1255cc;">President Obama</span></a> and his media <a href="https://www.google.com/search?q=8+million+sigups+for+Obamacare&amp;ie=utf-8&amp;oe=utf-8&amp;aq=t&amp;rls=org.mozilla:en-US:official&amp;client=firefox-a&amp;channel=sb"><span style="color: #1255cc;">sycophants</span></a> remains little more than unproven hype. Moreover, it remains to be seen what sort of reconciliation will be made in a number of different areas. For example, enrollees with improper income information may have their premiums adjusted up or down, receive cash refunds or be forced to make additional payments. Insurance companies’ finances could also be affected, precipitating premium spikes or withdrawal from the marketplace by companies that feel shortchanged. Even the estimates of ObamaCare’s overall costs may be subjected to radical readjustments. In short, until the back end of the system is completed, the true effects of ObamaCare cannot be fully ascertained.</p>
<p style="color: #232323;">Furthermore, the <a href="http://healthcare.gov/"><span style="color: #1255cc;">Healthcare.gov</span></a> website was hardly an anomaly.  Eleven of the 15 states (including Washington, D.C.) running their own exchanges submitted reports to the HHS inspector general. They detailed 1.2 million inconsistencies, but it remains unclear how they are counting them, so the data cannot be combined with federal totals. Seven states said they cleared up inconsistencies without delay. However the latter report illuminates that technological failure was not confined to the federal website. ”During our review, 4 of the 15 State marketplaces reported that they were unable to resolve inconsistencies (<a href="http://washingtonexaminer.com/section/massachusetts"><span style="color: #1255cc;">Massachusetts</span></a>, <a href="http://washingtonexaminer.com/section/nevada"><span style="color: #1255cc;">Nevada</span></a>, <a href="http://washingtonexaminer.com/section/oregon"><span style="color: #1255cc;">Oregon</span></a>, and <a href="http://washingtonexaminer.com/section/vermont"><span style="color: #1255cc;">Vermont</span></a>),” it stated. &#8220;They attributed this inability to failures in their information technology systems.”</p>
<p style="color: #232323;">Both reports chronicled the time period only from October through December of 2013. The more extensive of the two reports was required by House Republicans as part of last year’s deal ending the partial government shutdown. It was based on their now-validated assertion that ObamaCare was not set up to properly verify the various eligibility requirements contained in the law.</p>
<p style="color: #232323;">Senate Republican Leader Mitch McConnell (R-KY) <a href="http://www.news-herald.com/general-news/20140701/report-health-law-sign-ups-dogged-by-data-flaws"><span style="color: #1255cc;">took</span></a> the administration to task in that regard. “From today’s reports, it appears that then-HHS Secretary Kathleen Sebelius provided a misleading certification to Congress earlier this year that the Obamacare exchanges could and would verify that individuals receiving tax credits and cost-sharing assistance are actually eligible to receive these taxpayer-provided subsidies,” he said in a statement. &#8220;This report is one more example of just how flawed the president&#8217;s health care law is.”</p>
<p style="color: #232323;">Not just flawed. Fatal. Linda Rolain was one of 150 Nevadans <a href="http://www.reviewjournal.com/news/las-vegas/woman-class-action-lawsuit-against-xerox-dies"><span style="color: #1255cc;">suing</span></a> Nevada Health Link contractor Xerox for enrollment errors that left them without insurance they had paid for. That lack of coverage cost Rolain her life, when she was unable to receive treatment in January for an aggressive brain tumor. “Ms. Rolain should have had coverage in January,” said local insurance broker Pat Casale. “(She and her husband) did everything they could to facilitate the acquisition of a health plan. She suffered and she died all because of the negligence of a vendor who should not even be in the industry.”</p>
<p style="color: #232323;">According to Rolain’s husband Robert, the problems they encountered were depressingly familiar. They tried to sign up for a policy in November well before the original Dec. 15 deadline for January coverage. They were unable to do so and settled for a policy that took effect in March. But Xerox staffers miscommunicated the policy’s effective date, leaving them hanging until May. In June, Rolain entered hospice. &#8220;She had no chance because of the delay,” Casale explained.</p>
<p style="color: #232323;">When Tuesday’s reports came out, Democrats and CMS <a href="http://thehill.com/policy/healthcare/211083-report-details-o-care-rollout-problems"><span style="color: #1255cc;">pushed back</span></a> on the criticism. “It is no surprise to anyone that the first few months of the marketplace rollout were rocky,” said Sen. Tom Harkin (D-IA), chairman of the Senate Health, Education, Labor and Pensions Committee. &#8220;Since then, we have signed up eight million Americans.” CMS spokesman Aaron Albright was equally effusive. &#8220;CMS is working expeditiously to resolve inconsistencies to make sure individuals and families get the tax credits and coverage they deserve and that no one receives a benefit they shouldn&#8217;t. We are actively reaching out to consumers to provide additional information that supports their application for coverage and verifying their information every day.”</p>
<p style="color: #232323;">It’s no surprise<i> now</i> that the rollout was rocky, Senator, but an Obama administration fully aware of it before the initial launch last October refused to level with the public when it mattered most. And the so-called 8 million signups is a transparent effort to keep a false narrative intact, even as the reports completely debunk it. As for the notion that CMS is “working expeditiously,” such happy talk can’t obscure the reality that they have no idea when the back end of the system will be up and running.</p>
<p style="color: #232323;">The watchdog office issuing the reports has called on the Obama administration to publicly explain how and when—specifically&#8211;the data problems in the 36 states where the federal government is operating marketplaces will be resolved. One is left to wonder how many more people will share Linda Rolain’s fate in the interim, even as the massive bureaucratic failures that have come to represent the real &#8220;signature achievement” of ObamaCare play themselves out.</p>
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		<title>HHS Secretary: ObamaCare Website Didn&#8217;t Crash, It Just Doesn&#8217;t Work</title>
		<link>http://www.frontpagemag.com/2013/dgreenfield/hhs-secretary-obamacare-website-didnt-crash-it-just-doesnt-work/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=hhs-secretary-obamacare-website-didnt-crash-it-just-doesnt-work</link>
		<comments>http://www.frontpagemag.com/2013/dgreenfield/hhs-secretary-obamacare-website-didnt-crash-it-just-doesnt-work/#comments</comments>
		<pubDate>Wed, 30 Oct 2013 16:46:12 +0000</pubDate>
		<dc:creator><![CDATA[Daniel Greenfield]]></dc:creator>
				<category><![CDATA[The Point]]></category>
		<category><![CDATA[HHS]]></category>
		<category><![CDATA[Kathleen Sebelius]]></category>
		<category><![CDATA[Obamacare]]></category>
		<category><![CDATA[ObamaCare website]]></category>

		<guid isPermaLink="false">http://frontpagemag.com/?p=209108</guid>
		<description><![CDATA[It didn't crash. You just can't use it.]]></description>
				<content:encoded><![CDATA[<p><iframe width="540" height="360" src="//www.youtube.com/embed/_N6dc41VQwQ?feature=player_embedded" frameborder="0" allowfullscreen></iframe></p>
<p><iframe width="540" height="360" src="//www.youtube.com/embed/npjOSLCR2hE?feature=player_detailpage" frameborder="0" allowfullscreen></iframe></p>
<p>Kathleen Sebelius&#8217;s Congressional testimony was<a href="http://www.nationalreview.com/corner/362587/sebelius-website-has-never-crashed-andrew-johnson"> a masterpiece of hairsplitting</a>. The HHS Secretary explained that the ObamaCare website hadn&#8217;t crashed, <a href="http://hotair.com/archives/2013/10/30/great-news-from-sebelius-the-website-has-never-crashed/">it was just loading slowly and completely unreliable</a>.</p>
<blockquote><p>Health and Human Service secretary Kathleen Sebelius claimed under oath today that the federal government’s largely dysfunctional Healthcare.gov website has never crashed, even though the site was down as she testified.</p>
<p>“I would suggest the website has never crashed,” Sebelius said during Wednesday’s House Commerce and Energy Committee hearing. “It is functional, but at a very slow speed and very low reliability, and has continued to function.”</p></blockquote>
<p>The distinction means that a tiny fraction of people have been able to successfully use the website. It&#8217;s a little like saying that 99% of Washington burnt down, not 100%.</p>
<p>Healthcare.gov doesn&#8217;t work&#8230; but it didn&#8217;t crash. At least on their backend. You just can&#8217;t use it. It&#8217;s not a dead website. It&#8217;s just pining for the fjords.</p>
<p>More hairsplitting came when asked about people losing their health insurance plans.</p>
<blockquote><p>Sebelius disputed contentions that people are losing health insurance under the new law. If people get notices of cancellation because their existing insurance was not grandfathered in and does not meet minimum standards, “it’s the law that they must get another plan,” Sebelius said. “Continuing coverage is part of the law, and that wasn’t the case in the past.”</p></blockquote>
<p>They&#8217;re not losing their health insurance, in the sense that it&#8217;s illegal for them not to have health insurance. They&#8217;re losing their good and affordable health insurance and being forced to pay far more for bad high deductible ObamaCare insurance&#8230; that does cover drug abuse, mental problems and maternity for everyone&#8230; including 59 year old women.</p>
<p>Sebelius&#8217; equivocation reminds me of Anatole France&#8217;s &#8220;In its majestic equality, the law forbids rich and poor alike to sleep under bridges, beg in the streets, and steal loaves of bread.&#8221;</p>
<p>Nobody loses health insurance. They just lose health insurance that they can afford to pay for.</p>
<p>Sebelius, trying to explain a nightmare of non-functioning websites and canceled insurance policies, argued that the free market had to go. &#8220;This market has always been the Wild West,” she said. &#8220;The individual insurance market was dysfunctional.&#8221;</p>
<p>Do you know what&#8217;s functional? Individual insurance market websites. Do you know what isn&#8217;t functional? Sebelius&#8217; Healthcare.gov gulag.</p>
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		<title>The Not-So-Class Act</title>
		<link>http://www.frontpagemag.com/2011/tait-trussell/the-not-so-class-act/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=the-not-so-class-act</link>
		<comments>http://www.frontpagemag.com/2011/tait-trussell/the-not-so-class-act/#comments</comments>
		<pubDate>Tue, 01 Nov 2011 04:00:35 +0000</pubDate>
		<dc:creator><![CDATA[Tait Trussell]]></dc:creator>
				<category><![CDATA[Daily Mailer]]></category>
		<category><![CDATA[FrontPage]]></category>
		<category><![CDATA[CLASS act]]></category>
		<category><![CDATA[Congress]]></category>
		<category><![CDATA[HHS]]></category>
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		<category><![CDATA[Obamacare]]></category>

		<guid isPermaLink="false">http://frontpagemag.com/?p=110537</guid>
		<description><![CDATA[How Obama and Congress botched it, but the president still hangs on.]]></description>
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<p>We’ve had a damaging demonstration of two related major failures of the current administration: 1. the obstinacy of Barack Obama and 2. the failure of government price setting. They combined in the confusion over a section of ObamaCare called the CLASS Act (Community Assisted Living Services).</p>
<p>The Department of Health and Human Services (HHS) finally decided earlier this month to give up on the CLASS Act. It entailed a voluntary insurance plan to aid the old and disabled to pay for long-term care, including care in a nursing home.</p>
<p>But so attached is Obama to the health-care boondoggles that he can’t bear to part with one that even his own HHS admits is <a href="http://hotair.com/archives/2011/10/14/devastating-hhs-abandons-part-of-obamacare-as-fiscally-unworkable/">a catastrophe in the making</a>.</p>
<p>It was <a href="http://www.cato.org/pub_display.php?pub_id=13793">doomed</a> to fail. This was because of a special form of price control on the premiums. Each applicant’s premiums were set on the “average” applicant’s risk of needing such long-term care. One premium to fit all, as if everyone’s risk is the same in government’s glazed eyes. But, surprise! We’re not all the same.</p>
<p>Because few people with below-average risks would enroll, the average premium inevitably would rise. More people with below-average risks would continue not to enroll until the system eventually would fall apart.</p>
<p>The program&#8217;s primary purpose in the law was to pump up financing for ObamaCare. It would have collected premiums for five years before paying any benefits at all. The asinine program initially was to pay for $86 billion of the health overhaul law&#8217;s cost.</p>
<p>The brouhaha over the CLASS act is continuing since the plug was pulled by HHS last <a href="http://tinyurl.com/3kwn5bp">Friday</a>, saying it saw &#8220;<a href="http://tinyurl.com/6ygy9k2">no viable path forward</a>&#8221; to implementing the new long-term care entitlement program.</p>
<p>There was never evidence that CLASS could ever be sustainable. Any analyses on the concept before its passage would have concluded that CLASS was hopeless. The White House, the CBO, and Democrats in Congress all had to know this from the start.</p>
<p>It’s impossible to run a long-term care benefit unless millions upon millions of healthy Americans are forced to pay premiums somewhere up to $200 monthly&#8211;for a benefit they don’t want.</p>
<p>If the U.S. Supreme Court upholds ObamaCare&#8217;s individual mandate as constitutional and if the president were to be re-elected—God forbid—the administration would undoubtedly revive CLASS and mandate that everyone had to participate. That’s why it is imperative to repeal CLASS in this Congress, Republicans maintain.</p>
<p>Even if premiums were more reasonably priced, Medicare chief actuary Rick Foster <a href="http://tinyurl.com/5w38lbv">said</a> that 230 million Americans&#8211;more people than are in the entire American workforce&#8211;would have to participate for the system to work.</p>
<p>The House Energy and Commerce Committee scheduled a hearing for Oct. 26 to find out why the administration took nearly two years to admit that CLASS was unsustainable.</p>
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