This Obamacare Enrollment Assistance Group Got $200,000 In Federal Funds, Enrolled 1 Person

Tyler Durden's picture

Earlier this summer, congressional democrats lost their collective minds when the Trump administration announced plans to cut Obamacare's marketing budget from $100 million down to $10 million (see: Democrats Furious After Trump Announces 90% Cut To Obamacare Marketing Funds).  Here was Chuck Schumer's response:

Now, per a note from MSNBC, we're getting some new data on just how effective Obama's $100 million marketing budget has been.  According to data supplied by the Centers for Medicare and Medicaid Services, one group in South Dakota received $200,000 worth of federal funding and managed to sign up just one person.

A group that is supposed to help Native Americans sign up for Obamacare coverage in South Dakota received $200,000 in federal funds to support its efforts — and managed to sign up just one person in an Obamacare plan, the Trump administration said Wednesday.

 

The group, the Great Plains Tribal Chairmen's Health Board, had better luck in North Dakota — where it assisted 67 people in shopping for and enrolling in an Obamacare plan that went into effect in 2017.

 

But in that state, GPTCHB received an additional $154,000 in federal cash for its efforts.

 

That works out to nearly $3,000 per Obamacare enrollee of GPTCHB's in North Dakota.

 

In both Dakotas, the group's work cost taxpayers $5,200 per enrollee, according to data from the federal Centers for Medicare and Medicaid Services.

Obama

Of course, GPTCHB was not alone among so-called Obamacare Navigators in falling woefully short of its goals — or in getting a lot of federal money while doing so.  In fact, the top 10 Obamacare "Navigators" received a total of $2.8 million in federal funds and managed to sign up a mere 314 people...roughly $9,000 per applicant.

CMS said that besides GPTCHB, there were another 16 Obamacare Navigators that each had enrolled fewer than 100 people each for 2017 plans — at an average cost of almost $5,000 per enrollee.

 

And the 10 Navigators that received the most federal funds got a total of $2.77 million to sign up just 314 people in Obamacare plans, according to CMS.

 

Nationally, "Navigators received $62.5 million in federal grants to enroll 81,426 people — just 0.7 percent of total enrollees" in Obamacare plans, CMS said.

 

And 78 percent of Navigators failed to reach their enrollment goals "while spending $50 million," CMS said.

Meanwhile, despite the fact that $63 million was spent on signing up just 0.7% of total enrollees, former Obama spokeswoman Lori Lodes would like for you to know there are several reasons why you should doubt this hard data from the CMS and instead believe her propaganda.

"The value of a program should be judged by its results and not by the amount of money spent," said Caitlin Oakley, a spokeswoman for the U.S. Health and Human Services Department, the parent of CMS.

 

"Last year, the Navigator program helped less than 1 percent of enrollees sign up for Obamacare at a cost of nearly $63 million," Oakley said.

 

Lori Lodes, a former spokeswoman for CMS in the Obama administration, said there are several reasons to doubt that the Navigator program is performing as poorly as the Trump administration suggests.

 

"This doesn't paint a full picture," Lodes said of CMS's data.

But sure, Obamacare continues to work fantastically and is clearly in high demand.

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hedgeless_horseman's picture

 

"Obamacare continues to work fantastically..."

Indeed, for the health insurance companies that wrote the bill, and paid our elected representatives to pass it.

Now, the taxpayers are paying to market their products for them? 

I think I am going to be sick.

http://www.zerohedge.com/news/2015-04-14/one-chart-proves-obamacare-real...


ebworthen's picture

Precisely.  Paying to advertise something that is mandatory - that's .gov for you.

Bes's picture

ever notice how there are tons of articles on government waste here with details like this

but very fucking few about

the MIC.......?

obamacare is drop in the fucking bucket.

look squirrel!

Escrava Isaura's picture

Obamacare is not profitable. It reduces payments for services. Insurances, hospitals, and doctors don’t like that.

The high cost ‘profit’ comes from insurance and Medicare Advantage.

Here’s how it works:

Health insurers made oodles of money in 2016, despite losing millions of dollars on Obamacare.

The industry's net income rose to $13.1 billion, up 46% from a year earlier, according to a report from rating company A.M. Best.

Companies saw improvements in most of their business lines, but much of the earnings boost came from higher profitability in their Medicare Advantage divisions and smaller losses in their Obamacare exchange products.

"They did lose millions and millions" in Obamacare, said Doniella Pliss, associate director at A.M. Best.

Insurers reported an underwriting loss -- when claims paid exceed premiums collected -- of $893 million in 2016, down from $2.1 billion a year earlier, in their commercial business lines, which includes Obamacare policies.

Insurers were able to stem the bleeding by increasing rates, restricting provider networks and changing benefits packages. For instance, some insurers are reining in costs by restricting out-of-network access and monitoring patients more closely.

Obamacare "is not eating into profits to the degree that it did in the prior year," Pliss said.  

Where insurers did well was Medicare Advantage, where underwriting profitability soared 279%. Under Medicare Advantage, the federal government pays companies a fixed amount each month to cover Medicare-eligible Americans. Insurers are benefiting from an influx of younger, healthier retirees, better management of enrollees' health and more favorable contracts with providers.

Medicaid, however, has been a more challenging area for carriers. Their underwriting earnings declined in this segment, mainly because new Medicaid expansion enrollees have been sicker. However, this business line should improve over time as consumers have better and more consistent access to care.

 

JRobby's picture

Classic "EVERYTHING THE GOVT TOUCHES TURNS TO SHIT" tale.

Obliviocare is ripped off by phony enrollments and providers just like those other GOVT Medi-Programs

RafterManFMJ's picture

Who cares? Honestly, who gives one fuck about a blown 100 million? Blow a trillion on a plane that doesn’t fly, billions to Israel, - honestly I’m pretty fatigued over this nickel and dime fraud; at least some of these ‘navigators’ may have dumped some fiat into their local economies.

Again, who gives a fuck? It’s like getting shot in the chest with a .308 and your worried about a splinter that your cousin got.

NickPeeMe's picture

Call it what it is now. Trump care he fucked it of course it will fail.

VWAndy's picture

 Nice try. This shit samitch is the Ds to eat. Every last bite!

hedgeless_horseman's picture

 

Really?

Which party currently holds the House, Senate, and Presidency, Andy?

Red Team, Blue Team, same League ownership...

http://www.zerohedge.com/news/2016-03-17/be-very-wary-choices-you-are-gi...

remain calm's picture

Obamacare is a living abortion the Dems gave us

 

847328_3527's picture

"I fundamentally fucked America!"

 

~ Soweeto bin Bama

IH8OBAMA's picture

Don't get me started.  I might go do something I'll regret later.  :-)

 

IH8OBAMA

JRobby's picture

Repubs v Dems exists to provide the illusion of choice. They are equally corrupt and we have no choice.

CompassionateConservative's picture

Right you are.  It just makes me so sad and I almost want to give up but when that happens I just visit the local Museum of Tolerance Holyhoax Museum and remember why we have to keep fighting tRump and toxically masculine white supremacists.

woody188's picture

Right, Trump stole the profits from Fannie/Freddie to prop up the ACA. No wait, that was Barry Soetoro!

The thing was a failure from the get go. Failed to sign up the young and healthy even with an extra tax on IRS slaves day every April. Failed to get enough providers to accept their mandated services pay. Failed to control costs of any healthcare.

They couldn't even set up a website without spending over $2 billion dollars.

Well they did get one thing right. Medicaid costs have skyrocketed with the Medicaid enlistment portion setting up states that accepted the ACA with the mandatory Medicaid increases for bankruptcy.

Heckuva job!

FORD_FIESTA's picture

"The value of a program should be judged by its results and not by the amount of money spent," said Caitlin Oakley, a spokeswoman for the U.S. Health and Human Services Department, the parent of CMS.

That's all you need to know, as to why this Country is going down the Shitter, and needs to be flushed soon. Your fedgov is waaaaay beyond over the edge. Fuck these people,,,,,Fuck paying taxes.

 

CompassionateConservative's picture

How is Israel supposed to defend itself from Palestinians throwing rocks if you don't pay taxes you fucking anti-semite?

Endgame Napoleon's picture

Meanwhile, I, a multi-licensed insurance agent and a college grad who has never failed to meet my quotas in any type of sales job, am unemployed. The unlicensed navigators did not meet their goals. After working as a temp for health insurers, I am not surprised. As in many other insurance settings (not all, but many), the staff was mom-dominated. The moms were unlicensed, and they enjoyed the generous excused absenteeism for working moms that is the norm across the lower quarters of the financial services industry.

It is hard to meet your quota — ever — when you take whole mornings, whole afternoons, whole days and whole weeks off, watching each other’s backs and saying it is for kids, while kicking the hardworking agents out the door when they are even hired. Moms mostly hire fellow moms. Unlicensed people mostly hire unlicensed people, and licensed owners looking to save money often hire unlicensed moms, granting absenteeism privileges instead of pay that covers rent.

Employers can do that because the moms are either married, with a spousal income that covers rent, or enjoying a wide range of welfare products that boost up their low wages—from free EBT groceries, to subsidized rent, to $6,318 in child-tax-credit money each April

So, I just put another charge on my credit card, paying the state another tidy sum of money to renew my licenses, taking even more tests, while unlicensed Obamacare navigators managed to sign up almost no one, though they accepted regular paychecks.

Even worse than my experience, agents who took advantage of the industry’s pyramid-style “opportunities” for licensed agents, spending money for leads and paying the twice-as-high SS taxes of self-employment for years to build up a book of business on straight commission, lost all of that to Obamacare.

Their hard-won policies were ceded to these babyvacationing navigators who, in addition to regular paychecks, likely had benefits to reward them for their absenteeism and lackluster effort when at work. But I am sure they were all “culture fits” who squealed with the right amount of glee during all-important Halloween dress-up days and baby-mommy-look-alike-bulletin-board-decorating contests. The mommas do that in the insurance back offices as well, in between long jaunts of excused absenteeism and internet baby-pic posting in their cubicles.

I feel sorry for almost anyone who gets fired, and in some offices, a few hard workers might have survived the mom gangs. But I have seen enough absentee momma bullies in this industry, particularly in the large-scale offices, to say: Thanks to Trump for saying you're fired to this group of unlicensed insurance agents.

RealistDuJour's picture

Sounds like someone has a chip on their shoulders.  If you've recognized that you can't compete with moms in the health insurance sector... Then stop competing with moms in the health insurance sector.  Here's some free advice, go sell life insurance.  Can't do that unless you're licensed.

JRobby's picture

In the past, you could not talk to anyone about an insurance product of any kind unless you were licensed? And we wonder why it's completely fucked?

Kidbuck's picture

Ivanka's increased maternity leave for everyone should fix things right up for you.

RafterManFMJ's picture

Heeheehee

Read voxday’s post about the anal rape of Canadians small towns... great article

http://voxday.blogspot.com

Eventually you’re going to learn not to play. I have. I’m having a one-off nice refund this year and I can tell you true I’m going to buy a van or box truck and get out of the game.

TIred of working shifts, breathing hexachrome - all so my child’s birthright can be expropriated for a bunch of ... human shit.

Naw dog, I’m out.

GunnerySgtHartman's picture

Somebody give that idiot in the photo above a punch in the face, please.  I will buy you a bottle of your favorite liquor for doing so.

CompassionateConservative's picture

It's money well spent.  This $200,000 probably went to a poor oppressed Jewish person who suffered so much during the Holohoax.  Obamacare has been a great success for those who matter, let's make sure that tRump doesn't ruin it!

Miss Expectations's picture
Meet the 26 accused in Lakewood fraud probe: Who they are, what charges they face

Twenty-six members of the ultra-Orthodox Jewish community in Lakewood have been swept up on charges of benefits fraud following a multi-agency investigation. 

At present, thirteen couples have been accused of wrongfully collecting a total of $2.4 million in public assistance by under-reporting incomes. Most of the charges have been filed in state court, though some federal charges have been filed as well.

The social services programs involved include Medicaid, Supplemental Nutrition Assistance Program (SNAP, previously known as food stamps), Home Energy Assistance Program (HEAP), Hurricane Sandy relief, Section 8 housing, Social Security and the Catastrophic Illness in Children Relief Fund.

Zalmen and Tzipporah Sorotzkin

The rabbi of Congregation Lutzk, at 520 New Egypt Road, has been charged with his wife of second-degree theft by deception, and is accused of wrongfully collecting $338,642 in Medicaid, food stamp, Housing and Urban Development and Supplementary Security Income benefits between January 2009 and April 2014.

The couple live in a home built last year at a net value of $885,100, according to tax records. The home, which is owned by the synagogue and classified under "church and charitable property," had a taxable value of $18,212.88 in 2016, records show.

http://www.nj.com/ocean/index.ssf/2017/07/meet_the_26_charged_in_lakewoo...

yellowsub's picture

They should target them in Passaic, NJ and most of Brooklyn...  

http://www.nydailynews.com/new-york/hasidic-neighborhood-b-klyn-top-bene...

They're buying up lots of Brooklyn.

Do you believe the father figure can collect gov't benefits without working because of their religious study...

lincolnsteffens's picture

Not much different than some "Evangelists" that bilked the public directly. This group figured out how to game the revenuers. There has been a lot of financial engineering by people who aren't wealthy enough to have multiple citizenship and off shore accounts. Its called equal opportunity.

The entire tax system is an opaque farce.

Endgame Napoleon's picture

The money probably mostly went to a few managers, although many of the salaried sales managers are paid low amounts as well for taking on the responsibility, so maybe not. There are franchises that cost licensed people between $10,000 and $150,000. But most of insurance is a pyramid scheme, where about ten people the agent does not even know take a cut of each $250 to $800 straight-commission sale, gained by tons of relentless cold calling, calling a bunch of warm leads that cost a lot of money [and/or] a lot of running around and gas expense. But the unlicensed mom gangs in the call centers sell policies, un-energetically, in between bouts of absenteeism, collecting a regular paycheck and benefits, with a couple of licensed signers on hand to make it legal. The important thing is do you fit in their back-watching momma work clique?

MasterPo's picture

It's black Friday.

Suggest Lori pick up a bigger shovel.

[She's going to need it to move THAT mountain of crap...] 

truthalwayswinsout's picture

Same scam as voter registration. People who campaign get jobs and start companies and then get the money to live very well until the next campaign starts. It is all part of the scam.

honestann's picture

When I read the first little bit of this article, my brain spewed out an interesting idea.  Why don't Native American tribes... which I think are more-or-less considered sovereign fictitious entities (like any "government") create huge income streams by selling membership to their tribe for $10K to $25K (to citizens of the USSA)?

Then these people could ditch their slavery to the USSA and operate on the "reservation" (whether they live there or not).

I guess I'm not sure what subtle problem with this might exist, but maybe someone else here in ZH does.

Old Poor Richard's picture

That works if you're a casino mogul.  Not so much a little guy.  Too many wheels to grease.

honestann's picture

And that's why they should change their policy.  Everyone involved would be better off.

JRobby's picture

You have to go through a "formal process" with The State Department renouncing US Citizenship to end your tax liability.

And you would still be within the continental US earning $$$ which has other tax implications. As you might have noticed, they did not give Native American's the best pieces of land. But there are some nice ones depending on where you want to live and if you would be welcomed.

RafterManFMJ's picture

The real problem is they would simply drink away any increased income; from anecdotal evidence even tribes blessed with massive incomes they don’t earn drink themselves senseless.

I’ve been told you dont end up on a reservation (gas station for example) after dark unless getting repeatedly stabbed by a drunk is your fetish.

honestann's picture

I spent some time inside reservations while I was in the USSA.  Okay, only two or three months, but my impression was, people who aren't arrogant jerks are not in any more danger there than anywhere else.  In fact, I'd say much less than in most cities in the USSA.

Also, there's nothing magic about the land inside reservations that make someone drink, or drink more.  I never drank alcohol, and never felt any desire to drink alcohol when I was inside the reservation.  Just because some people fall into bad habits (usually due to their situation), doesn't mean other people with other attitudes and ways of living will do the same.

One reason a tribe should consider what I said is to help create job opportunities by attracting clean businesses into their reservation.  That would give more opportunities to become productive, which would eventually lead to fewer drunks, less violence and generally better conditions.

PS:  I filled up at gas stations in reservations many times, and usually after dark.  I never felt afraid or threatened.  Then again, I am simple, friendly and straightforward to people, I look them straight in the eye, pay attention to what they say, and have simple conversations.  I suspect that's part of the reason I never get in trouble.  I'm not sure why arrogant, disrespectful people expect to be treated great by people they disrespect.

Harry Paranockus's picture

Elizabeth Warren got her membership for $500.

Rex Andrus's picture

All expenses paid one way trip the Riyadh Ritz for "Shumer 911" and government employee in and from NYC

peippe's picture

I am really sorry, but I've been wandering the Dakotas pretending 

to be Jake Cloudbear & various other aliases, signing & resigning up for Obamacare at various 

stops. It's become a habit of mine. Jokes on them. haha. 

Drop-Hammer's picture

More niggerized kikery.

Muppet's picture

My fam's lowest cost Obamacare choice for 2018 is $2150 per month with $11K deductible.  Thats up from $1550 per month and $7k deductible.   We are a fam of 3.  

As Dana Carvey would imitate Geroge Bush "Not gonna do it.  Not gonna."