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Healthcare.gov's Latest Glitch: Unusable Medicaid Data

Tyler Durden's picture





 

Just when you thought it was safe to step back into the water of the "fixed" Obamacare website, another glitch, this time in sending data on Medicaid, has The Center for Medicare and Medicaid Services writing a memo to the 36 states using the federal website last week acknowledging the information wasn't being transferred automatically and saying another system was being developed to send it. Potentially affecting tens of thousands of Medicaid recipients, ABC reports, "Essentially, if you're a consumer on healthcare.gov, it will tell you you're eligible for Medicaid and the state agency will take care of it, but there's no real way for the state Medicaid agency to know anything about it." The information, according to AP, is incomplete with regard to verifying eligibility and as South Carolina's HHS Director notes, "it's going to be a gigantic logistical mess."

 

Via ABC (AP),

People shopping for insurance on the federal marketplace may be informed they're eligible for Medicaid and that their information is being sent to state officials to sign them up. However, states say they aren't able to enroll them because they're receiving incomplete data from the Obama administration.

 

...

 

The technical problem could affect tens of thousands of Medicaid applicants and represents the latest issue to arise in the rollout of a website that's been plagued with long waits for users and other glitches.

 

Some users who fill out applications on the federal site may believe that they're already being enrolled in Medicaid or that state officials will contact them, even though the agencies aren't receiving the information they need,

 

...

 

"Essentially, if you're a consumer on healthcare.gov, it will tell you you're eligible for Medicaid and the state agency will take care of it, but there's no real way for the state Medicaid agency to know anything about it,"

 

...

 

Tony Keck, director of South Carolina's Department of Health and Human Services, said that so far his agency has been receiving garbled data that may include a name but no address or three digits from a social security number.

 

"What they're sending us is essentially the same type of bad data they're sending the insurance companies, and we can't do anything with it," Keck said. "That's frustrating, because there's going to be a lot of people who think they're enrolled, especially now that they're doing all the marketing and phone calls and enrollment's increasing on the website as it's improved."

 

He said he's worried that "Medicaid applications are going to get stuck in this black hole somewhere."

 

...

 

As of Wednesday, Florida officials said they're waiting on the federal government to transfer 35,056 applications, representing 48,664 individuals, who are eligible for Medicaid and CHIP. But federal health officials warned the "the eligibility indicator field on the flat file is not accurate and we have no way to validate these numbers,"

 

...

 

"It's going to be a gigantic logistical mess," he said. "You would think that the White House being caught in imprecise language about keeping your plan would learn to be more precise in their language. It's frustrating they continue to oversell what's happening."

 


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Fri, 12/06/2013 - 11:22 | Link to Comment PR Guy
PR Guy's picture

Here's some Friday afternoon fun for you - Death tells us about his hobby - Nelson Mandela will undoubtedly be talking to Death today too.

http://www.youtube.com/watch?v=VTD4zBKbX7Q

Fri, 12/06/2013 - 11:33 | Link to Comment Skateboarder
Skateboarder's picture

But I thought they had reached private-sector productivity, a three-sigma error rate, and fifty thousand concurrent users. Did that 50,0001st guy fuck it all up? Oh wait, he can't.

Fri, 12/06/2013 - 11:36 | Link to Comment Occident Mortal
Occident Mortal's picture

With Obamacare being the Republicans biggest vote winner...

 

What will Boehner ask for in Febuary?

Fri, 12/06/2013 - 11:43 | Link to Comment Shad_ow
Shad_ow's picture

They were confused, that's the New Jersey gambling sites.

Fri, 12/06/2013 - 11:24 | Link to Comment kralizec
kralizec's picture

DumbassCare, a means to an end...the end of America!

Fri, 12/06/2013 - 11:28 | Link to Comment Dr. Engali
Dr. Engali's picture

America has died years ago. She's a cold dead carcass being picked clean by the buzzards in washington and on wallstreet.

Fri, 12/06/2013 - 11:55 | Link to Comment MachoMan
MachoMan's picture

That's quaint...  The concepts utilized to found the country couldn't even be sustained by its founders...  let alone their idiot successors.  America was always a full torso vaporous apparition.

Fri, 12/06/2013 - 12:10 | Link to Comment NIHILIST CIPHER
NIHILIST CIPHER's picture

"It's going to be a gigantic logistical mess"...................What part of the farkkin USSA gubbermint is not a gigantic logistical mess? Why would this sham be any different?  The authors pediction was not difficult.

Doc E               I will not fill out the death certificate on Amerika until there is a true awakening on a mass scale and TPTB have managed to completely disarm this society.............until that happens I will keep the candle in the window.

Fri, 12/06/2013 - 12:13 | Link to Comment kralizec
kralizec's picture

I stand corrected.  The last of the buzzards are feeding.

Fri, 12/06/2013 - 11:28 | Link to Comment GetZeeGold
GetZeeGold's picture

 

 

It's all about control.

Fri, 12/06/2013 - 11:25 | Link to Comment mofreedom
mofreedom's picture

healthcare.gov, just what Mandella would have wanted!

Fri, 12/06/2013 - 11:24 | Link to Comment TheFreeLance
TheFreeLance's picture

There was zero engineering applied to the back-end of this mess. How can you tell? There was practically zero on the FRONT END.

Fri, 12/06/2013 - 11:26 | Link to Comment Crash Overide
Crash Overide's picture

Obamacare - it keeps getting better everyday.

Fri, 12/06/2013 - 11:27 | Link to Comment Crash Overide
Crash Overide's picture

I like the part where she picks apart the website contractor among other things...

 

http://www.youtube.com/watch?v=v1kwfyyWpZk

Fri, 12/06/2013 - 11:25 | Link to Comment jmcadg
jmcadg's picture

Was having a conversation with a colleague at work this morning discussing Nelson Mandela's sad passing. I questioned if there are many people alive or dead that could be seen in the same eyes as Mandela. I ventured Martin Luther King, Ghandhi, maybe JFK at a stretch, but not many (I know I've missed some very siginificants here - but you get the gist).

He suggested Obama might be seen as positively when history looks back. I suggested he wil probably be seen as one of the worst Presidents EVER!

He struck back suggesting - along with being the first Black president, he will be seen to have tried to help bring healthcare to those without*.

I rolled my eyes and lolled inside!!!

* This may be a general UK view of Obama.

Fri, 12/06/2013 - 11:39 | Link to Comment Occident Mortal
Occident Mortal's picture

Obamacare is the polar opposite of what the UK have.

Fri, 12/06/2013 - 11:26 | Link to Comment SmallerGovNow2
SmallerGovNow2's picture

OT but wanted to share with my fellow ZH'rs...

RARE NEWS VIDEO: 1932 - young Patton, young Eisenhower, young MacArthur, Pres.Hoover, Walter Winchell reporting. I don't recall this from any history classes.  Do you think our military, acting on orders from a broken federal gov't, will NOT march against our own citizens??  Think what you want to, but THIS DID HAPPEN only a couple of generations ago.  Hard to believe but it was only 80 years ago !

 

http://www.youtube.com/watch_popup?feature=player_embedded&v=sNOsIB5VMSQ 

 

Will leave you truly speechless.  Anyone ever heard of this?  I've been a life long study of military history and this is the first i've heard of it... 

 

Fri, 12/06/2013 - 11:38 | Link to Comment PR Guy
PR Guy's picture

Interesting. Have you been able to verify it by going back to the newspaper archives of the day?

Fri, 12/06/2013 - 11:50 | Link to Comment Dr. Engali
Dr. Engali's picture

It's all a freshly shot fabricated video.

Fri, 12/06/2013 - 14:08 | Link to Comment zerozulu
zerozulu's picture

Interesting in B&W. Some thing similar is expected in 1080p soon.

Fri, 12/06/2013 - 11:39 | Link to Comment Skateboarder
Skateboarder's picture

Amazing... thanks for posting the footage. I've read about the bonus army attack - never thought I'd see footy!

Gosh those people look like normal humans. They ate real food back then.

Fri, 12/06/2013 - 11:39 | Link to Comment Toolshed
Toolshed's picture

That incident was mentioned in a documentary about the great depression I watched on netflix some months ago. The documentary did not give a lot of details, but did imply that it was a fairly significant happening, as I recall.

Fri, 12/06/2013 - 11:45 | Link to Comment Dr. Engali
Dr. Engali's picture

Pretty amazing. It's probably best that we don't learn about that in history. It might make it more of a challenge for the MIC to get moar fodder for the meat grinder.

Fri, 12/06/2013 - 11:52 | Link to Comment WhyDoesItHurtWh...
WhyDoesItHurtWhen iPee's picture

I do recall learning about the Bonus Army in 7th grade, 1973.  There was a scant paragraph in the history book, however the teacher spent the entire class period on this subject.  She intentionally spent alot of time on this because it very important to her.  She had a older relative involed in this in DC.

Fri, 12/06/2013 - 11:26 | Link to Comment Yen Cross
Yen Cross's picture

    Aren't 90+% of the signups FSA Medicaid users? I feel like I'm living in a cartoon.

Fri, 12/06/2013 - 11:42 | Link to Comment Skateboarder
Skateboarder's picture

You are living in a cartoon! The physics are real... so are the cops.

Fri, 12/06/2013 - 11:33 | Link to Comment q99x2
q99x2's picture

Obama is teleprompting hard to destroy you on behalf of the banksters. He will only do this as long as the banksters have money. They are out of money (meaning their ability to conterfeit is nearing an end) and running on fumes. 

Mandella hated fascists like Obama.

Fri, 12/06/2013 - 12:21 | Link to Comment NIHILIST CIPHER
NIHILIST CIPHER's picture

q99x2                Mandela was a marxist, Obama is a marxist . Birds of a feather, I don't think Mandela hated Zero.

Fri, 12/06/2013 - 11:36 | Link to Comment Reaper
Reaper's picture

What are the qualifications to be a Central planner? Where do I apply? Who do I make the check out to at the White House?

Fri, 12/06/2013 - 11:39 | Link to Comment tony wilson
tony wilson's picture

my fellow amerigans this is nose time for title or tattle.

we within der whitey house have nots got time for dis.

mandela has been un frozen on ice.

defrosted he is now official dead.

this is a time for rememberings for tears and laughs.

hopes and changes.

reggie cock and crack pipe smokin.

hospital is for der dead the dying or the stupid who do not understand they are in a slaughter house.

soon via cern we can teleport satan down from saturn he will sort the computer shit out.

god bless nelson mandinka and the cia.

good nites

 

 

regggeeeee cum to me now

Fri, 12/06/2013 - 12:18 | Link to Comment NIHILIST CIPHER
NIHILIST CIPHER's picture

TW                 If the teleprompter had failed, THAT IS MOST LIKELY THE SPEECH THAT OZERO WOULD HAVE IMPROVISED. You may be giving zero a little more credit than he is due using god bless unless he meant satan.

Fri, 12/06/2013 - 11:40 | Link to Comment kenezen
kenezen's picture

What Next? We have flat files, not relational and credible, Sent by sub-systems not by a developed relational or at least Hierarchical Central Data base? Three years? AND! What's real scary is the testimony on Hacking from testimony by hacking experts that this thing resembles Swiss Cheese! REP. Rogers made the rounds Screaming Millions at risk of losing all they have! Not one Front Page!

WHERE is the Press nationally? Where are the "Guardians of the People?? Why isn't the Press asking on the Front page of the newspaper Or as an opening Emergency announcement on TV: Are millions of people now vulnerable to Identity theft and the loss of all they have because they obeyed ?   Has KPMG or other large Auditing Firm been brought in to check this operating software? They have professional hackers that can test each section and the finished product when it's done!

These guys on TV testifying were sharp! PRO'S! They made it clear not only is ACA not safe it could be like finger to a hand and allow penetration into IRS! THE PRESS HAS TO GET INVOLVED FOR MILLIONS SAFETY!!

Fri, 12/06/2013 - 13:05 | Link to Comment SIOP
SIOP's picture

I write software to validate health care messaging.

Kenezen wrote' "...We have flat files, not relational and credible,...'

kenezen, you hit the nail on the head.

We currently recieve health care messages (HL7) and validate it just so medical providers can qualify for thier "meaninful use" insentive money from Obama, but we dont do ANYTHING with the data because it is mostly unusable and unreliable because it is simply not relational.  Think about that, doctors are sending us health information, we get it and "validate" it, and the doctors get thier money, but it's still mostly unusable! I could write a novel on what a mess this whole thing is, but no one cares as long as they get thier free Obama incentive money, and they do.

No one wants to say "The King has no clothes!"

Sat, 12/07/2013 - 00:35 | Link to Comment zebrasquid
zebrasquid's picture

"their" is not spelled thier. ..that's pretty basic, dude.

Fri, 12/06/2013 - 11:42 | Link to Comment adr
adr's picture

For fun I tried putting in different income levels on the calculator. When I put in $25k it told me my state voted to expand medicaid and go on it.

Wasn't the entire purpose of Obamacare to get health insurance for low income individuals?

If you're going on medicaid you're not using Obamacare. Fun fact: If you apply for Medicaid you are automatically enrolled in food stamps. Pretty soon you'll get everything at the one stop government shop. Sign your name and you'll get a .gov house, Chevy Cruze, food stamps, and everything else for the low price of checking the box for your favorite Washington Lawyer who doesn't want to actually work for his money.

Fri, 12/06/2013 - 12:02 | Link to Comment MachoMan
MachoMan's picture

It may actually be cheaper to automatically enroll them in all the programs than to pay tens of thousands of government and pseudo goverment workers to sign them up...

Fri, 12/06/2013 - 13:03 | Link to Comment AurorusBorealus
AurorusBorealus's picture

I could probably show you how to qualify for Medicaid with more income than that, depending on your state, the number of people in your family, your assets, and your current outstanding medical bills.  The reality is... the United States has had a federal insurance program for everyone since 1964... it is called Medicaid.  I lived in the states when Obamacare was being sold to the Democratic faithful, and I tried to explain to them that everyone already had access to insurance... that bankruptcies from healthcare bills were because people were either stubborn and didn´t want to verify their assets and income to the government or because they simply did not understand the law.  I remember all of them vociferously denying this and telling me I had no idea what I was talking about, when I was working at the time collecting unpaid bills for health-care companies... and one of my favorite tricks was to apply for Medicaid for people who owed large amounts of money.

Fri, 12/06/2013 - 11:50 | Link to Comment youngman
youngman's picture

How many jobs in this months number were going to the companies that are "fixing" Obamacare...thousands i bet..and its a great job..probably for life

Fri, 12/06/2013 - 11:50 | Link to Comment squid427
squid427's picture

@SmallerGovNow2

Thanks for that story. Amazingly sad piece of history.

Fri, 12/06/2013 - 11:56 | Link to Comment JR
JR's picture

84% Buying Health Insurance Eligible for Federal Subsidy

5 Dec 2013

WASHINGTON, Dec. 5 (UPI) --
As of Nov. 2, far fewer marketplace healthcare insurance applicants applied for federal subsidies than the number eligible, a U.S. analysis showed.

The Avalere Health analysis found 30 percent of marketplace healthcare insurance applicants were eligible for federal subsidies -- far below the 84 percent of enrollees who are ultimately expected to qualify for financial assistance.

State-based exchanges are tracking behind states with federally run exchanges, with 23 percent of eligible applicants being subsidy-eligible in state-based exchanges compared with 34 percent in federally run exchanges, the analysis said.

"The figures show the potential for increased exchange enrollment in the coming weeks as we get closer to the deadline for 2014 insurance," Dan Mendelson, chief executive officer of Avalere Health, said in a statement.

"As lower-income Americans determine that they have access to subsidized commercial insurance products, we can expect to see many enroll to save money."

On Nov. 12, the Department of Health and Human Services released enrollment data for the health insurance exchanges from Oct. 1-Nov. 2. The data showed 106,000 people nationwide had enrolled in coverage and selected a health plan.

However, nearly 1.1 million individuals had applied and been deemed eligible for coverage, Mendelson said. Among those, 30 percent were eligible for subsidies, meaning they had incomes below 400 percent of the poverty line -- $45,960 for a single person or $94,200 for a family of four.

Avalere Health projects 84 percent of final exchange enrollees are ultimately expected to qualify for subsidies, Mendelson said.

http://www.breitbart.com/Big-Government/2013/12/05/84--buying-health-insurance-eligible-for-federal-subsidy

Fri, 12/06/2013 - 12:18 | Link to Comment AurorusBorealus
AurorusBorealus's picture

Here´s the rub.  Each state has its own set of guidelines for who qualifies for Medicaid and how to verify qualification.  In many states agencies at the county level process these applications- and each county has its own set of verification procedures to ensure that the applicant is indeed qualified for Medicaid.  The biggest issue with Medicaid is asset transfers. Let us take an example...  I own a 450K house and a Mercedes Benz, have 500K in a mutual fund, and 350K in a 401K; I lose my job and want to apply for Medicaid... how do I do it?  Each state is slightly different, but there are federal guidelines that each state must follow to receive Medicaid disbursements from the federal government, so the differences are not enormous.  In general, primary residences, up to a certain value, which varies from state to state and county to county, are considered exempt assets.  In many cases, retirement funds are also considered exempt resources (so by transferring all of my savings into an IRA, I could qualify for Medicaid in some states-- and be a millionaire).  Also, generally speaking, 1 automoblie is exempt (regardless of value... so I am a millionaire with a 90K USD Mercedes Benz and qualify for Medicaid).

So each state, or each county agency, must verify these assets to determine whether I qualify and whether I have illegally transferred any assets (gave my 500K mutual fund to my children to qualify for Medicaid, for example) in a "look-back" period, meaning 3-7 years before my application for Medicaid.  These applications and the verifications process, especially for people with substantial wealth, can be quite long and take substantial time (which is why very good elder-care lawyers mak e big money preserving family wealth from healthcare institutions).

So I am quite sure that the 500 million lines of code in the Fascistcare site will neatly resolve all these Medicaid applications quickly.  After all, the states have to abide by the federal guidelines in processing and verifying these applications to continue to receive federal Medicaid dollars... lol...  And you thought this was going to be easy

Fri, 12/06/2013 - 12:20 | Link to Comment FubarNation
FubarNation's picture

I am becoming as fond of that Obamacarewow photo as I am of the deer.

Nice job.

Fri, 12/06/2013 - 12:38 | Link to Comment OldPhart
OldPhart's picture


With the glowing success of ObamaCare™ safely secured. It’s time to move to the next level.

It’s time to talk about ObamaCar™.

ObamaCar™ makes sure that everyone has Car Insurance.
...
With ObamaCar™ all preventive care is covered. All oil changes, tire replacement, brakes, winterizing, summarizing and other minor maintenance is mandated for every American.

The benefit of ObamaCar™ means that there is no longer a need for the uninsured driver premium, nor the medical premium (covered under ObamaCare™).

There will be four levels of coverage available. Bronze, Silver, Gold and Elected Federal Official/Staff.

Bronze-You pay the first $50,000 in repair bills, ObamaCar™ pays the balance; all preventive care is covered. All oil changes, tire replacement, brakes, winterizing, summarizing and other minor maintenance as mandated for every American. The premium is $1,000 per month.

Silver- You pay the first $38,000 in repair bills, ObamaCar™ pays the balance; all preventive care is covered. All oil changes, tire replacement, brakes, winterizing, summarizing and other minor maintenance as mandated for every American. The premium is $2,000 per month.

Gold- You pay the first $26,000 in repair bills, ObamaCar™ pays the balance; all preventive care is covered. All oil changes, tire replacement, brakes, winterizing, summarizing and other minor maintenance as mandated for every American. The premium is $3,000 per month.

Elected Federal Official/Staff- You pay the first $0 in repair bills, ObamaCar™ pays the balance; all preventive care is covered. All oil changes, tire replacement, brakes, winterizing, summarizing and other minor maintenance as mandated for every American. The premium is paid by the taxpayers.

Initially, there may be hiccups as we presently do not have a sufficient number of mechanics to handle what would be an increased demand for preventive maintenance; however built into this mandate is funding for the creation of a National Mechanic Corps--with stringent training standards covering oil cap removal, radiator filling, and other important issues to be defined by the newly created ObamaCar™ Agency.

This mandate is in force whether you have a car or not.See More

Fri, 12/06/2013 - 12:46 | Link to Comment AurorusBorealus
AurorusBorealus's picture

Only if Obamacar comes with Carcaid... a free federal insurance program, to those that qualify, that has complex federal guidelines and then is subject to varying state laws and then implemented differently in every county in the country.

Fri, 12/06/2013 - 12:43 | Link to Comment MedicalQuack
MedicalQuack's picture

You can't have a "static" law today and depend on the IT Infrastructures to be built after the fact.  We need digital centric laws that spell out the infrastructure at the start and that is created along with the verbiage..dummies in Congress have not figured this out yet, becasue they themselves are "non participants". 

http://ducknetweb.blogspot.com/2013/11/hhscms-pulls-allscripts-mistakeco...

Sad they lied their asses off with not being honest about all the code being done, look at what happened to a medical records company above when they lied about their code not being done to share holders...CEO was out and lawsuits were filed, this is a medical records company that did this.

 

Fri, 12/06/2013 - 14:26 | Link to Comment Mi Naem
Mi Naem's picture

You want Congressional staffers to spec in the IT infrastructure for their legislation?!? 

Ever seen a federal RFP?  I doubt it.  I think you have no idea the greater catastrophe you are asking for. 

Your suggestion would,among other things, almost double the size of the brigades of "K Street" whoremongers. 

Fri, 12/06/2013 - 13:21 | Link to Comment ItsDanger
ItsDanger's picture

Most of these software issues are blown out of proportion.  Just wait until the full impact of the rules are in play.

Fri, 12/06/2013 - 13:30 | Link to Comment monad
monad's picture

My friends who are retired seniors are ALL being murdered by this. They need health care, they paid into the system and now these traitors and oligarchs are breaking the contract, including Big Blue.

America is being sold lock stock and barrel by the enemy combatants who have infiltrated and taken over local, state and federal government. This is why our trade secrets and technology have been given to our competition, our military outsourced, and our military secrets handed to our enemies by those in the State Department. This is why the social safety net is being destroyed. All those capturing massive salaries are enemy combatants and traitors in the service of foreign and domestic enemies. You don't have any enemies? Yes, you do. They declared us their enemies. They have declared war on us. They are our enemies, bringing the fight to us. If we lose slavery and serfdom will be restored worldwide. If you do nothing this is what you'll get, and your children, if you are permitted any.

The reason Cicero allowed the pretorians to behead him was because he was an old patrician facing ruin and the ruin of his family at the hands of his own kind. He chose the sword to protect his family; he knew he could not save himself. The turncoats taking their 30 pieces of silver now will soon find themselves in the same situation, as soon as TPTB consider us defeated. TPTB like to make examples of those they crush. Its good for business.

Unite and stand or eat shit and die like cowards.

Fri, 12/06/2013 - 16:28 | Link to Comment FreeNewEnergy
FreeNewEnergy's picture

Americans love to eat shit. I don't believe there's any doubt about that.

Cowards? More then 90% is likely.

Sat, 12/07/2013 - 00:42 | Link to Comment monad
monad's picture

They just need a leader. One will do if one can stay alive, but the way this game is rigged its going to take some preparation.

Do NOT follow this link or you will be banned from the site!