Monday, May 6, 2013

It Begins: Feds Already Punting ObamaCare Cash Shortfalls to States

The Center for Consumer Information and Insurance Oversight (CCIIO) may be giving more attention to concerns about auditing and fraud in new Pre-existing Condition Insurance Plan (PCIP) contracting materials.

Congress created the $5 billion PCIP program to give people with serious health problems a way to buy coverage. The sick people who use the program can get major medical coverage for a price comparable to the price that healthy people in their states pay. In 2012, claims averaged about $30,000 per enrollee. ...

The Associated Press reported last week that CCIIO managers have suggested that the PCIP program as a whole will run out of cash before the date when it is supposed to shut down -- Dec. 31 -- and that states will have to make up the difference between what CCIIO can pay for the program and the actual cost of the covered claims.