Questionable Quality Improvement Expenses Drive Proposed Changes to Medical Loss Ratio Reporting
Under the Affordable Care Act, insurers must provide rebates to enrollees when their spending on cli...
Posts tagged with: medical loss ratio
Blog Posts:
COVID-19 and MLR Guidance on Risk Corridor Recoveries: State Options for Restoring Funds to Policyholders and the Public
The Supreme Court has required the federal government to reimburse health insurers for an estimated ...
As Insurers Sit on Extra Cash, Are Premium Relief and MLR Rebates the Best Use of Funds?
While the COVID-19 pandemic has prompted financial catastrophe across the country, the private healt...
State Options Blog Series: Implications of Weakening the 80-20 Rule for States and Consumers
The Trump administration recently issued a proposed regulation that could significantly impact how m...
Proposed 2019 Affordable Care Act Payment Rule: A Big Role for States
The U.S. Department of Health & Human Services published an annual set of proposed rules for the Aff...
NAIC Fall Meeting: As One Issue Winds Down, Another Rears Its Head
At the NAIC’s most recent meeting, two issues stood out: the long-coming Network Adequacy Model Ac...
Shifting into Post-Enrollment Issues: Fielding New Questions from Consumers
As we approach the end of open enrollment into new coverage options under the Affordable Care Act, m...
New Medical Loss Ratio Policy Means Consumers Will Receive Less in Rebates – But That’s OK
The Obama administration is proposing to provide insurers with temporary relief from an Affordable C...
The Medical Loss Ratio Rule – Report Highlights Savings for Consumers
A recent study documents major savings for consumers, thanks to the ACA's medical loss ratio ru...