Broker Regulation

Although enrollment in non-ACA-compliant plans is at a record low, a substantial number of people continue enrolling in these plans.

Some physicians are lobbying CMS to bring down the hammer on the electronic payment fee scam.

As employers and their advisors are gearing up for 2024 open enrollment, major mental parity changes are looming on the horizon.

Out-of-network price benchmarking through government regulation, competition with Medicare fee-for-service, and the fact that insurers actually bear risk in the MA market may drive down prices in MA.

CMS suspended arbitration of out-of-network payment disputes between providers and payers.

As payers interpret and transform these contracts into machine readable files utilizing the provided schemas, the prices are altered into a shadow.