Health care reform medical loss ratio study The Commonwealth Fund, an independent foundation based in New York that researchers health care policies, has released a new report concerning the medical loss ratio (MLR) provision of the Affordable Care Act. The MLR provision requires insurance companies to spend no less than 80% of the money they collect from premiums on improving medical care. If insurers cannot meet this standard, the money must be returned to policyholders. The provision took effect in 2011, but has been mired in litigation and bureaucracy, which…
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Millions of Americans may receive rebates from insurers this year
Before the summer draws to a close, millions of people across the United States will be receiving rebates from their insurers, due to the new federal healthcare reform requirements that have placed strict rules on the way that insurance companies spend their earnings. This regulation is not without opposition. The entire insurance industry, along with a large number of state officials, have been battling this rule for some time. Based on the federal regulations that went into effect at the end of 2011, health insurance companies are required to spend…
Read MoreInsurers to disclose information regarding their efforts to improve medical care this year
Last week, the Department of Health and Human Services (HHS) announced that consumers will begin receiving information on how their premiums are being spent this year. The Affordable Care Act requires insurance companies to spend no less than 80% of the money they collect from premiums on improving medical care. The federal law also requires insurers to inform consumers on how this money is being spent and how much has been spent thus far. HHS Secretary Kathleen Sebelius believes that this is a major step toward keeping insurance companies accountable…
Read MoreTexas consumers eligible for health insurance rebates may see a lower amount than originally thought
In Texas, some 690,000 consumers may receive approximately $160 million in insurance rebates in August. The money comes as part of the medical loss ratio provision of the Affordable Care Act, which dictates that insurers must pay at least 80% of the money they collect from premiums on medical care and if they cannot meet this standard they must return the money to policyholders. This may be good news for consumers, but state regulators are looking to cut the amount of rebates by three quarters. The state’s Insurance Department is…
Read MoreMichigan losses fight for medical loss ratio exemption. Consumer could get as much as $89 million in rebates next year
Michigan lawmakers have failed to obtain an exemption from the federal government regarding the new medical loss ratio provision of the Affordable Care Act. The provision requires the state’s health insurers to pay no less than 80% of the money they collect from premiums on improving medical care. If insurers cannot meet this standard, they must return the money to policyholders. Legislators in Michigan have been fighting for an exemption, but federal legislators denied the effort early this week. According to state regulators, consumers may be eligible for $89 million…
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