Timeline: A History of the Biden Admin’s Battle Against Misleading Medicare Marketing

  • Dec 05, 2024

    In its final annual update to the Medicare Advantage and Part D programs, President Joe Biden’s CMS on Nov. 26 issued a proposed rule that contained a slew of marketing and communications provisions slated to take effect for plan year 2026. These include new items that agents and brokers must discuss with Medicare consumers, an expanded definition of materials that plans must submit to CMS prior to marketing for the Annual Election Period, and new guidelines for MA organizations’ marketing of supplemental benefits.

    CMS’s proposal to expand oversight of MA advertisements “would build on previously finalized policies to protect people with Medicare from predatory marketing behavior such as misleading television, web-based and direct mail advertisements,” stated CMS Center for Medicare Director Meena Seshamani, M.D., during a Nov. 26 call with reporters. “These protections have resulted in CMS rejecting over 1,500 TV ads submissions in the last two years that were noncompliant and misleading to consumers, and the proposals in this rule would further strengthen this oversight.”

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  • Lauren Flynn Kelly

    Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

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