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ObamaCare Clusterfuck: HHS "hand matching" enrollees to insurers, as 10% error rate for 834s continues

The Hill:

The Department of Health and Human Services (HHS) is manually fixing thousands of flawed enrollment transmissions sent from to insurance companies in October and November, Congress was told Wednesday.

"We are in the process of actually hand-matching individuals to insurance companies,” Secretary Kathleen Sebelius said in testimony to the House Energy and Commerce Committee.

Yeah, just like buying a flat-screen TV.

The department announced Wednesday that that more than 30,000 applications might need to be re-evaluated before the end of the year.

The problem creates the need for federal health officials to reconcile individual enrollment records with a long list of insurers in a process one official described as "very intensive."

The CMS says the error rate has been reduced to about one in 10 now.

Industry standard is 1%.

However, the administration is expecting millions to flood the exchanges in weeks leading up to the Dec. 23 and March 31 deadlines, which could create thousands of more documents that need to be reconciled.

The process represents the next hurdle for the CMS as it seeks to ensure that every recent applicant at can use their coverage starting next year. 

Without a fully functioning system, policyholders will encounter problems and could be unsure if they’re covered by the insurance they believe they’ve purchased, creating another firestorm for the administration.

Yeah, and "unsure" in a situation like the back of an ambulance on the way to the hospital, say.

NOTE Serco has brought in back in July to handle the paperwork, so I assume they're doing this. Interestingly, Serco has been indicted in the UK for fraud. No doubt that was a point in their favor.

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Rangoon78's picture
Submitted by Rangoon78 on

Serco’s Checkered History
Serco’s big role in the Obamacare exchanges is even more disturbing in the light of its record with the British National Health Service.

In 2006, Serco won a contract to provide out-of-hours physician service in Cornwall, England. Guardian reporter Felicity Lawrence reported that the quality of service promptly declined, as Serco cut costs by cutting staff. Reportedly, there were sometimes more than 90 patients at a time waiting on the telephone help line. And according to whistleblowers, Serco on at least one occasion, had only one general practitioner available overnight for the entire county.[23] Furthermore, “in 2010,” Lawrence wrote, “a Cornish boy, Ethan Kerrigan, six, died as a result of a burst appendix when the Serco out-of-hours service advised putting him to bed rather than sending a [general practitioner] to examine him.”[24]