Showing posts with label Insurance Exchange. Show all posts
Showing posts with label Insurance Exchange. Show all posts

Wednesday, January 29, 2014

California’s Obamacare Scandal - Criminals Working as Navigators

At least 43 convicted criminals are working asObamacare navigators in California, including three individuals with records of significant financial crimes.

Although some of the offenses are decades old, and although convicted criminals account for only 1 percent of the 3,729 certified enrollment counselors in the state, Californians still have good cause to be concerned about their privacy.

Even a single crooked navigator could do significant harm to the public. That’s because when navigators sign consumers up for health insurance under the Affordable Care Act, they have access to lots of private information, including Social Security numbers, home addresses, and financial data — basically, everything on the wish list of identity thieves and fraudsters. Navigators also are likely to work with a population that is more vulnerable than average.

Limited statistics released by Covered California — the state’s new health-insurance exchange — showed that one navigator has repeat forgery offenses — one in 1982, then another in 1994, with a burglary in between. Another had two forgery convictions in 1988, in addition to a domestic-violence charge a decade later. Another committed welfare fraud in 1999 and had shoplifted on at least two prior occasions. Since 2000, individuals now working as navigators have committed crimes including child abuse, battery, petty theft, and evading a police officer. At least seven navigators have multiple convictions. The information released covered only certified enrollment counselors, one of the three types of navigators working in California.

Friday, December 20, 2013

Cover Oregon: Official who oversaw development of health exchange, Carolyn Lawson, resigns

OracleCoverOregon_Lloyd.JPGCarolyn Lawson, the embattled state technology executive who oversaw much of the development of Oregon's troubled health insurance exchange, has resigned for personal reasons.

It was Lawson, chief information officer at the Oregon Health Authority, who decided the state could manage the complex exchange project itself, rather than hire a private-sector systems integrator, a decision since criticized by her superiors. Lawson also was close to Oracle Corp., the California technology giant that has been blamed for doing shoddy work and repeatedly missing deadlines.

Nearly three months after the federal deadline for a functional health exchange website, Oregon's exchange has emerged as a technological train wreck and a PR nightmare. The state has paid more than $160 million and a fully functional site remains weeks -- perhaps months -- away. 

State officials have been forced to spend even more money gearing up a massive system of temporary employees and contractors to manually process paper applications for health insurance.

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