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ACA’s medical loss ratio not hurting insurers

June 2, 2015  /  Insurers, Medical Loss Ratio

An examination of the medical loss ratio (MLR) in 2014 suggests that the financial performance of insurers has not changed substantially since the years before the Affordable Care Act.

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Insurers show greater compliance with medical loss ratio

March 27, 2015  /  Insurers, Medical Loss Ratio

Rebates that insurers owe patients are dropping, Commonwealth Fund finds

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In twist on medical-loss ratio, insurers back health startups

September 25, 2014  /  Insurers, Medical Loss Ratio

Insurers are pumping money into digital health startups–a sector that’s raising record amounts of cash.

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MLR Rule a Baby Step Toward Spending Reductions

August 16, 2014  /  Insurers, Medical Loss Ratio

The medical loss ratio, also known as the 80/20 rule, is trimming spending by payers. But the fate of the nation’s drive to cut healthcare costs rests in the hands of the biggest spenders—providers.

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Insurers push for change to medical-loss ratio

July 18, 2014  /  Insurers, Medical Loss Ratio, Uncategorized

The health insurance industry is urging lawmakers to amend the Affordable Care Act’s medical-loss ratio provision-it wants payments to brokers and agents excluded from administrative costs.

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Early Effects of Medical Loss Ratio Requirements and Rebates on Insurers and Enrollees

July 11, 2014  /  Insurers, Medical Loss Ratio

  More than three quarters of insurers met or exceeded Medical Loss Ratio standards in 2011 and in 2012, and the median MLRs among all insurers was 88 percent.

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Administration to weaken O-Care formula, aiding insurers

March 14, 2014  /  Insurers, Medical Loss Ratio

The Obama administration plans to temporarily weaken a spending formula in ObamaCare to allow insurers to use more premium dollars on administrative costs.

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Insurers May Get Cost Break Thanks To Rocky ACA Rollout

March 13, 2014  /  Insurers, Medical Loss Ratio

The Obama administration keeps changing the rules on implementing the Affordable Care Act. Insurance companies keep complaining. But they’re unlikely to grouse about the latest adjustment.

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Latest

Impact of Medical Loss Regulation on the Financial Performance of Health Insurers

September 10, 2013  /  Insurers, Medical Loss Ratio

For-profit insurers operating in the individual health insurance market increased their spending on medical claims and quality improvement, reduced premiums, or both, resulting in a significant rise in the median “medical loss ratio” — a measure of spending on care and quality improvement relative to premiums earned — from 2010 to 2011.

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BlueCross BlueShield Plans Want Quality Improvement Activities in Loss Ratio

August 28, 2013  /  Medical Loss Ratio

BlueCross BlueShield plans should be allowed to include expenses for quality improvement activities (QIAs) in calculating their medical loss ratios (MLRs) that are used to determine rebates to consumers, the Blue Cross and Blue Shield Association said in an comment letter to the Internal Revenue Service.

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