Healthcare Finance News August 22, 2025
A Texas judge vacated a 2024 final rule that would have limited payment to third-party administrators who help MA marketers.
A federal judge in Texas has ruled that the Centers for Medicare Services overstepped its authority in trying to cap broker compensation in Medicare Advantage plans beyond setting limits on commissions.
A federal judge in Texas vacated a final rule issued under the Biden administration in 2024 that would have limited payment to third-party administrators who help MA marketers.
In the rule, CMS sought to regulate Medicare Advantage administrative payments as “compensation” and limit those payments to a fixed fee of $100.
After staying the rule in July, Texas Judge Reed O’Connor ruled on Aug. 18 that in addition to...
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