MedCity News November 7, 2023
Marissa Plescia

CMS proposed a new rule that would set a flat amount — $632 — that MA plans can pay agents and brokers when they help enroll a person into any MA plan. The proposed rule also addresses behavioral health access and prior authorization.

The Centers for Medicare and Medicaid Services proposed a new rule Monday that aims to ensure fair competition among Medicare Advantage plans by preventing excessive compensation to agents and brokers, among other things.

“Agents and brokers play an important role in guiding people with Medicare to the option that is tuned in to their medical needs. Our proposals on how plans compensate agents and brokers seek to support a competitive marketplace that best serves people with Medicare,”...

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