The Affordable Care Act open enrollment season is facing new federal guardrails against fraud to prevent unauthorized enrollments and switches by rogue agents and entities. Some experts fear that the new rules may slow consumer sign-ups for 2025 coverage. The Centers for Medicare and Medicaid Services have implemented stricter rules, such as requiring three-way calls for certain policy adjustments. Despite concerns, CMS has ramped up support at healthcare.gov call centers to minimize wait times. Unauthorized switches can cause problems for consumers, and the fate of enhanced subsidies is pending Congressional decision next year. Fraudsters are already finding ways around the new protections.
Source link
Efforts To Curb ACA Enrollment Fraud Face Real-World Test
