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CMS: New rule would cap commissions for Medicare Advantage brokers, agents

After lawmakers called for oversight over Medicare Advantage marketing practices three weeks ago, the Centers for Medicare and Medicaid Services is now proposing to limit the compensation brokers can receive from insurers.

By Alan Goforth | November 09, 2023 at 10:43 AM
Photo: Pablo Martinez Monsivais/AP

The Centers for Medicare & Medicaid Services early this week proposed a rule that would limit how much compensation agents and brokers can receive for enrolling Medicare beneficiaries into Medicare Advantage plans. Commissions would be capped at $632, beginning with the 2025 plan year.

“Many people with Medicare rely on agents and brokers to help them make the best choice about their health-care coverage,” CMS Administrator Chiquita Brooks-LaSure said. “However, we are concerned that some Medicare Advantage plans are compensating agents and brokers in a way that circumvents existing payment rules.”

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