health-coverage

1. October 29, 2026News2 receipts2 min

   FTC staff warn 25 health-plan marketers and lead generators about deceptive coverage and cost claims

   FTC staff are sending warning letters to 25 companies marketing healthcare plans or generating sales leads. The October 29 announcement highlights misleading coverage, price and incentive claims. The published letter also addresses telemarketing and impersonation, while expressly saying it does not conclude that a recipient engaged in illegal conduct.

   Also filed underconsumer-protectionadvertisingtelemarketinginsurancefederal-trade-commission

2. October 15, 2026News1 receipt2 min

   Medicare's annual open enrollment begins October 15, with plan changes due by December 7

   Medicare's annual October 15–December 7 window opens today for changes to Medicare Advantage and prescription drug coverage. Medicare says coverage starts January 1 when the plan receives an enrollment request by December 7. This is a plan-choice window, with separate considerations for drug coverage and Medigap when returning to Original Medicare.

   Also filed undermedicareenrollmentprescription-drugsconsumer-information

3. September 19, 2026News2 receipts3 min

   Medicaid states must show that their fixes for eligibility errors will not wrongly deny coverage. GAO found that check missing from all 14 plans it reviewed, and in one state more than 30 percent of sampled denials were errors.

   When a state's Medicaid eligibility reviews find errors, it must send CMS a corrective action plan, and each plan must evaluate whether the fixes could lead to more improper denials. GAO's report released September 17 reviewed the plans of seven states and found that evaluation missing from all 14 plans, while CMS accepted them anyway. It also found CMS does not analyse errors and fixes across states, so one state's lesson does not reach the other 50. The stakes run both ways: GAO counted 2,789 eligibility errors in states' reviews since 2019, most from caseworkers and missing documents, and a separate sample of denials found error rates of 12 percent or more in five of the seven states in at least one year, above 30 percent in one. GAO made two recommendations. HHS agreed with one and said the other was already done; GAO disagreed.

   Also filed undergaomedicaidcmseligibilityoversight

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