Breaking News – CMS Extends Elevance Medicare Advantage Sanction Deadline to May 30, 2026 and Exempts Some Elevance Plan Contracts From Sanction
CMS is giving Elevance more time to respond to the CMS enforcement notice regarding its questions about Elevance’s risk adjustment data submitted from November 2018 to October 2025. Elevance now has until May 30, 2026 to respond to CMS about this memo and the risk-adjustment data CMS questions. CMS is also announcing that several existing […]
Carrier Notice – Devoted Health Prohibiting The Use of Certain Lead Generation Enrollment Platforms
Devoted Health has issued a notice to all Devoted-appointed agents and agencies regarding the use of certain third-party “ready-to-enroll” lead platforms. Devoted Health has identified situations in which agents purchase “ready-to-enroll” leads from third-party vendors and submit enrollments without following CMS-compliant enrollment practices with the beneficiary. In these cases, the lead generation process typically directs the beneficiary […]
CMS Suspending Medicare Advantage Enrollment into Elevance Medicare Advantage Plans Starting March 31
CMS is sanctioning Elevance Medicare Advantage plans by suspending new enrollment and marketing for the plans on March 31, 2026. Elevance has until this date to submit all data corrections and an attestation for its risk adjustment data submissions made from November, 2018 through October, 2025. CMS is also alleging that Elevance annually certified the […]
Molina Healthcare is leaving Traditional Medicare Advantage in 2027
A key insurance trend for 2026 is already having an impact. Molina Healthcare is announcing its exit from the traditional Medicare Advantage and Prescription Drug Plan market in 2027. Molina Healthcare will focus on its Medicare-Medicaid plans within the Medicare market. This decision comes as Molina also announces it will miss its 2026 profit […]