The 2027 Marketplace Final Rule includes expanded marketing and broker oversight and enrollment integrity scrutiny. Marketing materials that include misleading “zero-dollar” plan references or misrepresented enrollment deadlines, for example, are in CMS’s crosshairs.

For health plans and marketing teams, material development is constant—but compliant review and approval is where delays happen. From ANOCs and EOCs to sales materials, websites, and physician communications, every piece must meet CMS, state, and ACA requirements before it can go live. Without the right structure and expertise, review cycles become slow, fragmented, and prone to rework.

CMS’s CY 2025 Final Rule: A Quick Summary

We are pleased to invite you to our free webinar on April 3, 2024 from 1:00 to 2:30 pm EDT.

On November 15, 2023, CMS issued a proposed rule that proposes revisions to regulations governing Medicare Advantage (MA or Part C), the Medicare Prescription Drug Benefit (Part D), Medicare cost plans and Programs of All-Inclusive Care for the Elderly (PACE), in Contract Year 2025 with a limited number of provisions to be applicable beginning with CY 2026. The proposed rule includes policies that would modify Star Ratings, marketing and communications guidance, agent/broker

On March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) issued its Announcement of Calendar Year (CY) 2024 Medicare...

Here’s a big thing that Betsy Seals makes clear in this show: Big companies can be successful in Medicare Advantage (MA)—and I mean...

Co-Authored by John Selby and Diane Hollie This Annual Enrollment Period will definitely be one to watch. The key themes emerging from...

The growth of Medicare Advantage (MA), by almost every measure, is continuing at an explosive rate with no end in sight. The...

Rebellis Group's Betsy Seals and John Selby were recently interviewed by AIS regarding CMS's take on third party marketers and the...

Marketing & Sales Misrepresentations - Detection & Prevention Activities Every MAO Should Implement Now that the Annual Election Period...

Now that we’re right in the middle of the 2020 OEP election period – how have your strategies stacked up to your local competition?