Lawmakers and state officials are turning up the heat on federal regulators to stop unscrupulous, commission-hungry insurance agents from enrolling thousands of people in Affordable Care Act plans, or switching their coverage, without their knowledge. Health Brief is a coproduction of The Washington Post and KFF Health News. Customers often don’t discover the changes until they’re denied medical coverage or get for ACA tax credits they have to repay.
Senate Finance Committee Chair (D-Ore.) said he’ll propose legislation to allow the to hold fraudulent brokers “criminally responsible” for their actions. The agency, which oversees the ACA exchanges, can fine individuals up to for submitting false information in an application for a health plan, but it hasn’t done so, Wyden said.
“I am disappointed these penalties have not yet been used to hold bad actors accountable,” Wyden wrote last week in a to CMS Chief . , who oversees agencies including insurance regulators as Florida’s chief financial officer, called on Congress to push CMS to require two-factor authentication on and related platforms that agents use to sign people up for coverage. According to Patronis, the state has into problem enrollments.
“It’s far easier to prevent fraud from occurring in the first place than it is to ask state regulators to chase down these bad actors after the fact,” Patronis wrote. The problem appears concentrated among the using the federal marketplace — — because, b.