Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period

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Unauthorized plan switching in the Affordable Care Act has decreased, with a drop in complaints indicating progress. The annual open enrollment period is testing changes to prevent fraud by rogue agents while maintaining enrollment numbers. Tightened requirements, suspensions of agents involved in switching, and increased support operations aim to curb unauthorized changes. Despite these efforts, rogue entities are finding workarounds. Brokers assist with enrollments, but some have expressed concerns about increased complexity. The actions taken apply to the federal marketplace, with states running their own websites utilizing additional security measures. Measures to prevent unauthorized switches have shown some success but have also faced criticism.

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