Healthcare Finance News January 14, 2025
Susan Morse

To reduce unauthorized changes to coverage, the rule expands CMS’ authority to immediately suspend an agent or broker.

The Centers for Medicare and Medicaid Services has issued a rule for additional safeguards to protect consumers from unauthorized changes to their healthcare coverage in the Affordable Care Act marketplace.

The final Health and Human Services Notice of Benefit and Payment Parameters for 2026, or the final 2026 Payment Notice, sets standards for health insurance issuers, brokers and agents who connect consumers to Affordable Care Act coverage.

The rule, effective January 15, is for marketplace coverage beginning in plan year 2026.

WHY THIS MATTERS

The rule is intended to make it easier for consumers to understand their costs and enroll...

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