Medicare Leads and Why You Should Start One-to-One Consent Now

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laptop with an eyeball, data leak monitoring, seeding data.

Grasping the implications of the 2025 Medicare Advantage and Part D Final Rule, recently announced by the Centers for Medicare and Medicaid Services (CMS), is crucial for businesses in the Medicare leads industry. This rule, similar to the FCC’s ‘one-to-one’ prior express written consent requirements, except no manual dialing for the Medicare vertical, will significantly impact Third Party Marketing Organizations (TPMOs) and the industry. These regulations ensure that personal beneficiary data collected by TPMOs for marketing or enrolling individuals into Medicare Advantage or Part D plans is handled with utmost care. By understanding these rules and their relation to Medicare leads, businesses can better prepare for the future.

Assumed is a simple yet powerful tool that can assist businesses in navigating the complexities of the new one-to-one consent regulations for Medicare leads. It provides a reassuring layer of security by uncovering insights and observations of related consumer contact practices. Planting Assumed’s artificial contact seeds in your databases allows you to discover indicators of data leaks and potential breaches, as FTC regulations mandate. Assumed also provides monitoring capabilities, allowing businesses to ensure that their data partners and vendors adhere to CMS and FCC guidelines and privacy laws. This includes observing the content and frequency of communications sent to leads, indicating whether or not they are compliant and relevant. Assumed can even be used to monitor opt-out flows and the effectiveness of these processes so you will not get tangled up by a missed opt-out. One of the key benefits of using Assumed seed records is that you will not have to use your own personal information or risk exposing real consumer information during your assessment process.

Additionally, Assumed promotes transparent practices by providing visibility into consent and lead handling practices, which is crucial in complying with the CMS ruling. By continuously vetting data partners and vendors and establishing workflows for ongoing verification of data compliance, Assumed helps businesses protect themselves against legal and reputational risks. Assumed enables businesses to adapt proactively to the changing legal landscape, maintain consumer trust, and comply confidently with regulatory guidelines.

One-to-one consent in the Medicare industry refers to the requirement for businesses to obtain explicit, prior written consent before reaching out to consumers via calls or text messaging. The company must obtain this consent individually, hence the “one-to-one” designation. The consent has to be for the person calling them; if you have the consent information but want to transfer or sell to another agent, that agent will need to get the consent because yours does not apply once the deadline hits. This is even true for all contacts that you have previous to the deadline, once October 1st hits, all those contacts will need one-to-one consent! This practice is significant in the lead generation space as it ensures that consumers are fully aware and in control of how their personal information is used and shared. For businesses, one-to-one consent can be a good thing; it helps build trust with consumers, reduces the risk of regulatory penalties and ensures compliance with FCC and CMS regulations. For consumers, it provides greater transparency and control over their data, leading to a more positive and secure experience when interacting with businesses in the Medicare space.

Introducing one-to-one consent regulations in the Medicare industry will not only allow consumers more transparency and control over personal data, but also foster a sense of trust and positive experiences. In alignment with FCC requirements, the 2025 Medicare Advantage and Part D Final Rule shows the importance of obtaining explicit, prior written consent before contacting consumers. Assumed is a valuable tool for businesses, offering monitoring and vetting features to navigate these regulations effectively. By adhering to these regulations and leveraging tools like Assumed, companies can ensure compliance, build trust with consumers and safeguard their reputation in an increasingly regulated landscape. This, in turn, will lead to more positive and secure experiences for consumers in the Medicare space, a goal that all businesses in this industry should strive for.