Becker's Healthcare October 7, 2024
Rylee Wilson

CMS is proposing new regulations on the ACA marketplace in 2026, which include some aimed at cracking down on fraud.

The agency published its proposed rules for the marketplace Oct. 4.

Here are 10 things to know:

  1. CMS proposed holding lead agents at insurance agencies accountable for violations of marketplace standards.
  2. The agency also proposed using its authority to suspend an agent or broker’s ability to operate on the exchange if the agency deems the agent “poses an unacceptable risk to marketplace operations.” The policy would improve security on the exchange, CMS said, resulting in fewer unauthorized changes to coverage.
  3. CMS has moved to crack down on brokers making changes to enrollees’ coverage without...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance
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