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CMS Medicare disclaimer changes for 2024, plus 18 other things agents need to know
On Wednesday, April 5, the Centers for Medicare and Medicaid Services (CMS) released a final rule governing policy and technical changes to the...
1 min read
Action Benefits May 18, 2022
The CMS 2023 final rule was recently released. Within the document are new requirements for third-party marketing organizations (TPMO), regarding Medicare Advantage and Medicare Prescription Drug Plans. Most importantly, CMS has broadly defined TPMOs as organizations and individuals, including independent agents and brokers, who are compensated to perform lead generation, marketing, sales and enrollment related functions as a part of the chain of enrollment. Despite the fact that the increase in CMS complaints over the past few years have been driven by sales call center activity and lead generation, these rules apply to all individuals and organizations as defined above.
The new rule requires that MA plans must implement a variety of requirements as a part of their oversight of TPMOs. The two listed below will have a significant impact on independent agents:
There are many outstanding questions regarding these requirements that hopefully CMS will clarify (and hopefully change) prior to October 1. The call recording requirements in particular could prove to be very difficult to implement for field agents. The way the rule is written today it would require you to record all calls with prospects or existing customers in their entirety. A seemingly impossible task for agents not in a call center environment.
Action Benefits will continue to monitor the situation and provide additional information and clarity as it becomes available. We are also looking at solutions to help you comply with the new requirements.
You can read the full final rule here: https://bit.ly/3NizeyN
3 min read
On Wednesday, April 5, the Centers for Medicare and Medicaid Services (CMS) released a final rule governing policy and technical changes to the...
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CMS has just released a proposed rule for Medicare Advantage plan year 2024 which has many implications for independent agents and brokers. You don't...
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Each year, the Association of Health Insurance Plans releases its Medicare + Fraud, Waste, and Abuse training in June. If our calendars are right,...