CMS Cancels 315,000 Unauthorized Marketplace Enrollments

The Centers for Medicare & Medicaid Services announced an effort to reduce fraud, waste and abuse in the federal Health Insurance Marketplace. Through the effort of the CMS Federally Facilitated Exchange anti-fraud coordination group, CMS is canceling about 315,000 unauthorized enrollments, covering more than 760,000 individuals. By eliminating these unauthorized enrollments, CMS estimates a return of roughly $2.2 billion in taxpayer-funded subsidies. CMS also is strengthening marketplace program integrity by: 

• Requiring all existing agents and brokers to reidentify proof through Login.gov or ID.me
• Requiring applications involving an agent or broker to include Social Security numbers or immigration document numbers
• Updating the system to prevent agents and brokers from being added to applications that consumers should be completing
• Requiring electronic consumer authorization before an agent or broker can act on a consumer’s application or enrollment