How does the marketplace address fraud and abuse prevention?

• A. It implements identity verification, data matching, audits, training, and strict rules for assister conduct to prevent misuse of subsidies.
• B. It relies on self-report without verification.
• C. It prohibits audits to protect privacy.
• D. It grants subsidies without verification.

Answer: (A)

Fraud and abuse prevention in the marketplace relies on layered controls that verify who is enrolling, ensure information is accurate, and monitor activities to deter improper use. Identity verification stops impersonation and fake accounts. Data matching compares information across trusted sources to catch inconsistencies or false claims. Audits provide ongoing checks of transactions and processes, helping detect and deter misuse. Training equips staff, assisters, and applicants with the knowledge to follow rules and spot red flags. Strict rules for assister conduct ensure those helping consumers adhere to requirements and avoid manipulating subsidies.

Together, these measures create both deterrence and detection, enabling timely intervention and recovery of any improper payments. The other approaches—relying on self-report without verification, prohibiting audits, or granting subsidies without verification—would leave the system vulnerable to fraud and abuse.