Becker's Healthcare July 8, 2024
A federal judge has paused implementation of CMS regulations capping the amount Medicare Advantage companies can pay brokers that sell their plans.
In a decision issued July 5, U.S. District Judge Reed O’Connor granted a stay on the implementation of the new regulations until a final decision is issued. Americans for Beneficiary Choice, an association representing insurance brokers and two Texas insurance agencies, sued to challenge the decision.
In April, CMS issued a final rule capping the total compensation MA plans can pay brokers at $611 for a new member, and $306 for a renewal. These caps include payments for administrative services, which were previously excluded from limits.
CMS raised the previous compensation limits by $100 to...