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1. Data inadequacies undermine CMS's oversight of the inconsistency resolution process for the federal marketplace

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, March 2017
Subject(s):
Data Collection
Eligibility Determination
Health Insurance Exchanges
Cost Sharing
Federal Government
Government Regulation
Humans
United States
United States. Department of Health and Human Services.
United States.
Centers for Medicare & Medicaid Services (U.S.)

4. State health- insurance marketplaces: three states used varied data sources for eligibility and had few indications of potentially improper enrollments : report to Congressional requesters

Publication:
Washington, D.C. : U.S. Government Accountability Office, September 2017
Subject(s):
Cost Sharing -- economics
Eligibility Determination
Health Insurance Exchanges
Insurance, Health -- economics
Fraud
Income Tax
Humans
Idaho
Maryland
Rhode Island
United States
United States.
Centers for Medicare & Medicaid Services (U.S.)

5. Medicare and Medicaid: CMS needs to fully align its antifraud efforts with the fraud risk framework : report to Congressional addressees

Publication:
Washington, DC : United States Government Accountability Office, December 2017
Subject(s):
Fraud -- prevention & control
Health Insurance Exchanges
Medicaid
Medicare
Risk Assessment
Risk Management
Fraud -- economics
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)
State Children's Health Insurance Program (U.S.)

6. Private health insurance: Markets remained concentrated through 2020, with increases in the individual and small group markets : report to congressional committees

Publication:
Washington, DC : United States Government Accountability Office, November 2022
Subject(s):
Government Regulation
Health Insurance Exchanges
Insurance, Health -- economics
Insurance, Health -- statistics & numerical data
Legislation, Medical
United States

10. Key strategies that states used for managing Medicaid and marketplace enrollment during the COVID-19 PHE

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, September 2023
Subject(s):
COVID-19
Eligibility Determination -- organization & administration
Government Regulation
Health Insurance Exchanges
Medicaid -- organization & administration
State Health Planning and Development Agencies
United States