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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Texas health insurance waiver denied by the federal government
The federal government has announced that it has not approved Texas’s request for exclusion from a new law that places limitations on allowable amount of overhead spending by health insurers. The law from which Texas wanted to be excluded is one of the changes made in 2010 as a part of the Affordable Care Act for federal health care. Officials in Texas are claiming that this part of the Act is unconstitutional. It is called the medical loss ratio requirement, and it states that health insurance companies must spend a…
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