Becker's Healthcare November 26, 2024
Alexandra Murphy

Federal efforts to prevent fraud in the ACA marketplace are yielding positive results, but new restrictions aimed at curbing fraud may complicate the 2024 open enrollment period, KFF Health News reported Nov. 25.

Here are four things to know:

  1. Federal regulators reported a nearly one-third reduction in complaints about unauthorized plan switching, indicating that efforts to address fraud are working. Through August, more than 274,000 consumer complaints were filed, but recent actions have contributed to a significant decline in fraudulent activity.
  2. CMS has introduced stricter rules for changing plans, such as requiring a three-way call involving the consumer, broker and a healthcare.gov representative when an agent is not affiliated with the existing...

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Topics: ACA (Affordable Care Act), Insurance
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