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GAO Report Reveals $27 Billion Fraud in ACA Marketplace

12/8/2025

Summary

Story summary

The Government Accountability Office report finds significant fraud and abuse in the Affordable Care Act (ACA) marketplace.
Thousands of deceased individuals received subsidies totaling approximately $94 million.
About 275,000 complaints were filed regarding unauthorized enrollments.
In 2023, one in three subsidy recipients had Social Security numbers (SSNs) unverified by IRS records.
The report links lax verification and $0-premium enrollments to 6.4 million improper enrollments, costing taxpayers $27 billion this year.

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Story summary

The Government Accountability Office report finds significant fraud and abuse in the Affordable Care Act (ACA) marketplace.
Thousands of deceased individuals received subsidies totaling approximately $94 million.
About 275,000 complaints were filed regarding unauthorized enrollments.
In 2023, one in three subsidy recipients had Social Security numbers (SSNs) unverified by IRS records.
The report links lax verification and $0-premium enrollments to 6.4 million improper enrollments, costing taxpayers $27 billion this year.