Episode Summary
In this episode of The Broker Link, Josh Slattery dives into the 2026 Final Rule and its impact on the health insurance landscape. While this year’s changes are more modest compared to previous updates, several important developments were discussed:
- GLP-1 Coverage & Debit Card Rules: Proposed changes to expand GLP-1 drug coverage for obesity and revise flex debit card use were not included in the final rule.
- SSA Qualification Process: The process for Medicare Special Enrollment Periods is now more complex, requiring verification from past claims or providers.
- Part D Risk Adjustment: Updates were made to help stabilize the Part D market amid growing cost pressures.
- Medicaid Impacts: The “Big Beautiful Bill” introduced major changes, including work requirements and stricter eligibility limits for Medicaid beneficiaries.
- Medicare Advantage Update: Penetration rates have reached 53%, but 6% of enrollees faced plan terminations this year.
Josh also shares insights on the current regulatory climate, market volatility, and what agents should watch for as policy changes continue to evolve.
Timestamps
00:00 Introduction to BrokerLink and Final Rule Overview
05:05 Key Changes in the Final Rule for 2026
10:11 Impact of the Big Beautiful Bill on Medicare and Medicaid
20:01 Future Legislative Landscape and Prior Authorization Reforms
30:05 Market Dynamics and the Future of Medicare Advantage
