ACA Marketplace Final Rule: Fraud Prevention, Enrollment & Broker Impact
About this episode
The episode discusses the new CMS Marketplace Integrity and Affordability Final Rule and its implications for the ACA marketplace.
In this episode of Healthcare Happy Hour, host David Saltzman sits down with Emily Trevino, senior managing partner at Wise Partners and a leader in NABIP’s Individual Working Group, to break down the new CMS Marketplace Integrity and Affordability Final Rule. Emily discusses how the rule aims to address fraud and enrollment issues in the ACA marketplace while creating new challenges for consumers, carriers, and brokers. The conversation covers tighter verification requirements, changes to premium tax credit reconciliation, shortened enrollment windows, and increased oversight of brokers and agents, along with practical strategies for benefits professionals preparing for the next enrollment season.
Topics covered
- ACA Marketplace
- Fraud Prevention
- Enrollment Issues
- Broker Impact
- CMS Final Rule
- Verification Requirements
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