Fierce Healthcare May 23, 2024
A key senator is calling on the Centers for Medicare & Medicaid Services (CMS) to crack down on brokers who submit fraudulent enrollments for Affordable Care Act (ACA) plans.
Sen. Ron Wyden, D-Oregon, wrote in a letter (PDF) to the agency expressing concern about reports that brokers are making enrollments or changes to plans without consent from enrollees. Wyden said these actions “result in tangible harm to people including uncovered medical expenses, loss of coverage and disruptions in care, and an unexpected tax liability that could be thousands of dollars out of their own pockets.”
In the letter, Wyden argues that CMS should enforce civil monetary penalties for brokers who fraudulently submit plan enrollments, penalties that currently exist in the...
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