Biden administration proposes capping broker payment in MA, following pressure

Healthcare DIVE November 7, 2023
Rebecca Pifer

The CMS proposed a rule on Monday to stop brokers from steering beneficiaries to certain plans, in regulators’ latest move to curb MA marketing misconduct.

Dive Brief:

• Medicare Advantage brokers could have their extra payments from health plans capped under a new Biden administration proposal.
• The CMS proposed a rule on Monday that would create a ceiling for total compensation that agents and brokers can be paid, regardless of the plan a beneficiary enrolls in.
• The goal of the rule is to stop brokers from steering beneficiaries to plans based on excessive compensation. If finalized, it should curb predatory marketing and level the playing field between large and small health plans with fewer marketing resources, regulators said.

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