Educational Resources to Inform Your OE26 Approach | hioscar Blog | Oscar
Educational Resources to Inform Your OE26 Approach
This rule primarily focuses on preventing fraud, waste, and abuse within the individual market
How Insurance WorksBroker Updates and Resources
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The Centers for Medicare & Medicaid Services (CMS) finalized its Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability Rule (Program Integrity Rule) in June 2025. This rule primarily focuses on preventing fraud, waste, and abuse within the individual market.
Educational Resources to Inform Brokers
It's crucial for both brokers and members to understand these changes to ensure compliance and avoid disruptions in coverage. As such, Oscar has developed a comprehensive educational curriculum on the Program Integrity Rule to ensure brokers are equipped with the necessary knowledge to succeed.
Our Resource Hub (opens in new tab) houses all of this information in one spot, including live and on-demand webinars and simple, handy educational collateral to leverage.
Let’s highlight a few resources from the Resource Hub that will help add clarity to the Program Integrity Rule and help prepare you and your members for a successful OEP.
Deep dives into the key provisions you need to know, along with practical considerations to help you and your members navigate them effectively.
A clear outline of how Oscar will be supporting you every step of the way – both right now and throughout OEP.
Answers to your burning questions with a dedicated FAQ section focused on the most critical provisions.
Next, Oscar's Broker Checklist (opens in new tab). This simple yet powerful tool will help you stay organized and ensure your new and existing members are fully prepared for enrollment. Start using it now to set yourself and your members up for success!
Oscar also developed in-depth resources detailing key provisions from the final rule. These resources provide clear member examples, visuals, CMS resources, and more to help brokers better understand provisions and guide their members. Take a look through these essential resources:
[Provision Pausing Monthly SEP For Members ≤ 150% FPL
Prefer to watch on-demand training sessions? Check out the Past Policy Webinars section of the Resource Hub (opens in new tab). For instance, you can watch (or download):
Is Spanish your preferred language? No worries! View our Centro de Recursos (opens in new tab), which includes all educational materials mentioned above in Spanish.
Legal Disclaimer: The following material involves regulatory rules that are subject to change. It is not intended as, nor does it constitute legal advice. The information provided, whether in writing, or in verbal communication, should not be considered a substitute for seeking advice from your own qualified legal counsel. This information is not intended to be relied upon to make a legal decision.
