An ongoing audit of the Washington, D.C., Healthcare Alliance has raised suspicions that non-district residents have illegally claimed district rights, and are enrolled in a program that provides Washington health insurance at no-cost care for district residents who cannot afford private insurance, but are not eligible for Medicaid.

At Kaiser's Daily Report it's stated that the audit found a "significantly high occurrence" of people using the same address, multiple case records established for the same client, and payments being made for people no longer enrolled in the program. A review of 344 case records showed that most enrollees used unsubstantiated letters from friends or family members to prove their residency in the district.

And of 63,167 data records reviewed, 16,720 include no Social Security number, which might mean that there are a large number of undocumented immigrants enrolled in this no-cost Washington health insurance program.

An "antiquated automated eligibility program" has been blamed for the fraud, and with changes implemented to the program it won't be long before Washington health insurance will only be applied to those in eligible locations. But, with so many uninsured and under-insured in surrounding areas, the public will continue to pay higher premiums to cover the medical debt accrued by those who can't afford coverage until changes are made to the health care industry as a whole.