CMS To Hold Medicare Advantage Plans Responsible For Actions Of Third-Party Marketers

For the Medicare Advantage 2023 plan year, the federal Centers for Medicare & Medicaid Services (CMS) plans to strengthen its oversight of third-party marketers for Medicare Advantage plans. CMS intends to hold the health plans accountable for detecting and preventing potentially misleading marketing tactics by third-party marketing organizations. These provisions of the rule were released on May 9, 2022, and are effective on June 28, 2022.

In the rule, CMS noted that beneficiary complaints about third-party marketing organizations (TPMOs) have been increasing. In 2020, CMS received a total of 15,497 complaints related to marketing. In 2021 . . .