State Government : Performance Audit

New performance audit looked at costs and sustainability at Washington's Health Benefit Exchange

The Health Benefit Exchange helps customers buy health insurance plans and determines whether they are eligible for subsidies that help pay for them. The Legislature required the State Auditor's Office to examine the Exchange's operating costs. We found the Exchange has not been fully reimbursed by the state and federal Medicaid program for nearly $90 million in services provided on behalf of the Health Care Authority; we recommend the Exchange and HCA work together to ensure proper payment allocations. We also found the Exchange's operating expenses appear reasonable, and that joining the federal health exchange program now would increase the Exchange's overall costs. Finally, we made recommendations that can help the Exchange manage its financial self-sustainability in the future. Read the report ​(pdf, 1.8 mb). Read the two-page summary (pdf, 155 kb)

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​​​​​Coming soon: Public Records Study

The Performance Audit team is conducting a study on the costs of fulfilling public records requests in the electronic age, and how the nature and volume of records requests affect public agencies. It will include a survey of every state agency and local government organization​ in Washington. Keep informed of this work as it progresses here.​

​​Performance audits work to improve service 
to the public

We provide the public and state leaders with independent, objective evaluations of the effectiveness, economy and efficiency of public services, at both the state and the local level.

Learn more about performance audits.


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