⚕️🏥✨𝙒𝙝𝙚𝙧𝙚 𝙙𝙞𝙙 𝙩𝙝𝙚 𝙊𝙗𝙖𝙢𝙖𝘾𝙖𝙧𝙚 𝙥𝙧𝙚𝙢𝙞𝙪𝙢 𝙢𝙤𝙣𝙚𝙮 𝙜𝙤?
Ghost applicants did not need a doctor. They needed a name.
President Trump’s fraud team, Vance, AAG Colin McDonald, Oz, just teed up a number for phantom Affordable Care Act rolls:
35% of exchange enrollees in 2024 never used the plan.
No visits. No prescriptions. No labs.
Paragon’s read of the fraud data: 12 million zero-claim files, up from under 4 million in 2021.
What it means? About 40% of the fully subsidized never filed a claim.
Understand: These are not “people stayed healthy.” It is a ghost market that doubled the no-use rate after the COVID-era subsidies made the premium $0 for the broker.
Where there is money, there are thieves, looking for opportunity.
Here is the scheme in one sentence: a recruiter needed a live body or a stolen identity, they put it on paper, and the Treasury started wiring premiums and subsidies to the insurer.
The broker took a commission.
The “patient” never had to walk into an office. Most never knew they were enrolled.
𝑺𝒐𝒎𝒆 𝒘𝒆𝒓𝒆 𝒏𝒐𝒕 𝒓𝒆𝒂𝒍 𝒑𝒆𝒐𝒑𝒍𝒆.
Vance’s fraud task force says more than 760,000 have been frozen or pulled — $2.2 billion in taxpayer funded subsidies that should not have gone out.
Earlier estimates put peak improper and phantom enrollment in the millions.
It was a healthcare miracle:
GAO’s own sting got almost every fake applicant approved.
Where did the money go? Not to a mystery slush fund. It went to insurance companies as monthly payments for ghosts, and to brokers who were paid to hunt names.
Oh, and taxpayers funded the premiums that nobody ever used.
So here we are:
In addition to ObamaCare coverage for illegal aliens—yes, it’s real, they flew under the oversight radar…
Hundreds of thousands now have to prove they are more than a floating white sheet. Time to prove they have a living breathing pulse and qualify for the plan.
Insurance fraud is not compassion. Compassion is for sick people.
Thievery is for con artists.
If a third of your “patients” never exist in a waiting room, you do not have a healthcare for all program.
You have a billing program.
⚕️🏥✨
⚕️✨🏥760,000 𝙣𝙖𝙢𝙚𝙨 𝙟𝙪𝙨𝙩 𝙜𝙤𝙩 𝙥𝙪𝙡𝙡𝙚𝙙 𝙤𝙛𝙛 𝙊𝙗𝙖𝙢𝙖𝘾𝙖𝙧𝙚.
White House fraud task force led by VP Vance and Dr. Oz are cracking the whip: These are not real people. We’re not paying insurance for nonexistent ghosts.
In summary: The ghost insurance scheme is over.
Dr. Mehmet Oz, CMS administrator said during a White House press conference: most of the names were never supposed to be on it.
760,000 names pulled
419,000 more are being run through extra checks on two questions:
Are you legally here?
Do you actually qualify on income?
Estimated taxpayer save: $2.2 billion.
Vance’s line: that’s healthcare for about 550,000 American kids that was going to fraud instead of care.
Who they say is in the pile:
Phantom enrollees: People who don’t exist on anything but paper.
People brokers enrolled by broker scheme without their knowledge for the commission.
People who fail citizen-residency and income qualifying rules.
Last month CMS canceled about 315,000 plans over unverified citizenship-immigration docs and bad enrollments.
Not a slogan. A purge of a roster.
Chuck Schumer and Hakeem Jeffries told us during the shutdown that no illegals were enrolled in ObamaCare.
Dr Oz said, “that is false.”
Do you want to subsidize healthcare for undocumented residents? Democrats are fighting hard to keep them on the dole.
Taxpayer subsidy was built for legal citizens who meet the income threshold.
If a name on ObamaCare fails that test, it is not a healthcare patient.
It’s a scheme.👀