ACA’s medical loss ratio not hurting insurers
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.
Read More →Insurers show greater compliance with medical loss ratio
Rebates that insurers owe patients are dropping, Commonwealth Fund finds
Read More →In twist on medical-loss ratio, insurers back health startups
Insurers are pumping money into digital health startups–a sector that’s raising record amounts of cash.
Read More →MLR Rule a Baby Step Toward Spending Reductions
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.
Read More →Insurers push for change to medical-loss ratio
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.
Read More →Early Effects of Medical Loss Ratio Requirements and Rebates on Insurers and Enrollees
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.
Read More →Administration to weaken O-Care formula, aiding insurers
The Obama administration plans to temporarily weaken a spending formula in ObamaCare to allow insurers to use more premium dollars on administrative costs.
Read More →Insurers May Get Cost Break Thanks To Rocky ACA Rollout
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.
Read More →Impact of Medical Loss Regulation on the Financial Performance of Health Insurers
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.
Read More →BlueCross BlueShield Plans Want Quality Improvement Activities in 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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