Becker's Healthcare January 14, 2025
CMS will implement policies meant to crack down on fraud in the ACA marketplace.
The agency published the 2026 final rule for ACA plans Jan. 13, and the regulations take effect Jan. 15.
CMS will finalize a policy that allows it to take enforcement actions against lead agents at insurance agencies that it determines are violating marketplace rules. The tougher enforcement comes after thousands of individuals were enrolled in ACA plans, or switched to a new plan, without their knowledge. CMS said it received 40,000 complaints of unauthorized plan switches in the first three months of 2024.
Here are five other regulations to know:
- CMS will broaden the scope of offenses for which brokers can be...
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