Employees of ACA contractor: Lots of healthcare applications can't be processed

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by KMOV.com Staff

KMOV.com

Posted on July 1, 2014 at 5:23 PM

Updated Tuesday, Jul 1 at 5:52 PM

(KMOV.com) – A recent audit reveals millions of Affordable Care Act applications are being rejected because of errors or inconsistencies.

Serco, which received $1.2 billion in taxpayer money to process Affordable Care Act applications, was also hired to resolve inconsistencies on applications. Employees said many applications have missing documentation pertaining to citizenship, family size, and household income, factors which can determine whether someone receives a subsidy.

“Nothing is actually getting processed where people are actually getting insurance,” one Serco employee said.

An audit from Health and Human Services Inspector General said there have been 3 million application inconsistencies, and only 10,000 were resolved through February. Serco employees said many of the applications can’t be fixed, so they are shuffled between departments to create the illusion of work.

Several Serco employees and others who work for Serco subcontractors have said there has been little work to do at the Serco facilities in Arkansas, Kentucky, and Wentzville, and that they have been paid to do nothing or play games.

A Serco executive told Congress it expected to process 6.2 million applications, but a Serco employee said a company vice president revealed during a visit to the Wentzville facility that only 300,000 applications have been processed.

In an email, the Centers for Medicare and Medicaid (CMS), which oversees Serco, said 435,000 inconsistencies have been resolved. Serco employees said the process put in place to solve such problems is not working.

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