Businesses Taking Heat Over What to Do With Health Insurance Rebates

By: Friday August 10, 2012 10:14 am

A couple weeks ago, when everybody was hailing the power of the medical loss ratio to send rebate checks to health insurance subscribers, I pointed out that a large percentage of the rebates would just revert back to employers, who could then do with them whatever they pleased, within certain limits. This would potentially not [...]

Many Insurance Company Rebates Just Revert Back to Employers

By: Monday July 30, 2012 11:48 am

One of the claimed successes by Obamacare supporters has been the distribution of rebates from insurance companies that did not reach the required percentages of spending on medical treatment under what is known as the “medical loss ratio.” Under the Affordable Care Act, insurance companies that fail to spend 80% of their premium dollars on [...]

Medical Loss Ratio Leads to $1.3 Billion in Consumer Rebates

By: Friday May 11, 2012 12:15 pm

The jury’s still out on much of the Affordable Care Act, but here are 1.3 billion reasons why it may have improved on the status quo in some fashion: Consumers and businesses are expected to receive an estimated $1.3 billion by this August in rebates from health insurers who spent more on administrative expenses and [...]

Obama Administration Rejects Florida Waiver Request on Medical Loss Ratio

By: Friday December 16, 2011 8:55 am

While less prominent than the Ryan-Wyden plan yesterday, the Obama Administration took a step to actually implement its health reform product, by denying a waiver to the state of Florida on the medical loss ratio. Previously, the Administration approved waivers on the MLR for six states – Nevada, Iowa, Kentucky, Georgia, New Hampshire and Maine. [...]

Time Bomb in Health Care Law More Akin to Squirt Gun

By: Monday December 5, 2011 8:15 am

On yesterday’s Virtually Speaking Sunday, Stuart Zechman and I spent the first segment discussing Rick Ungar’s article theorizing that the medical loss ratio is a “bomb” inside the Affordable Care Act waiting to explode. The MLR mandates a minimum percentage of insurer premiums that must be spent by insurance companies on medical treatment. There’s a [...]

Medical Loss Ratio Requirements Working Where Applicable

By: Tuesday August 30, 2011 7:30 am

The Government Accountability Office gave a fairly glowing report about the efect of the federal medical loss ratio, a policy inserted into the Affordable Care Act by Sen. Al Franken (D-MN) that forces insurance companies to spend 80-85% of their premiums (depending on the type of coverage) on medical treatment, and to rebate customers if [...]

Final Medical Loss Ratio Regulations Released by HHS

By: Monday November 22, 2010 11:18 am

The Department of Health and Human Services released the final rule for the medical loss ratio today, after months of debate and lobbying from both consumer groups and the health insurance industry. The regulations will force insurers to spend between 80-85% of premium revenue on medical treatment, rather than overhead, salaries and other compensation. The [...]

Consumer Advocates Fight to a Partial Victory on Medical Loss Ratio Rule

By: Thursday October 21, 2010 10:30 am

Jonathan Cohn took a look at the NAIC meetings in Orlando this week, where a few consumer advocates and a flotilla of lobbyists descended as insurance commissioners from around the country put rules in place on the medical loss ratio, the rule in the Affordable Care Act that will mandate a certain amount of spending [...]

McDonald’s Threat on Health Insurance Coverage Proves that Exchanges Will Be Bigger Than Expected

By: Thursday September 30, 2010 9:27 am

My first reaction to this story about McDonald’s potentially dropping its health insurance coverage for employees was to ask myself, “McDonald’s offers health coverage to employees?” The answer is yes. They offer really bad health coverage. Trade groups representing restaurants and retailers say low-wage employers might halt their coverage if the government doesn’t loosen a [...]

Insurance Industry Taking Every Possible Advantage of Affordable Care Act

By: Tuesday September 21, 2010 7:25 am

I mentioned this in The Roundup yesterday, but this move from the insurance industry is predictable, but nonetheless takes some gumption. Some of the country’s most prominent health insurance companies have decided to stop offering new child-only plans, rather than comply with rules in the new health-care law that will require such plans to start [...]

Making the Rules

By: Monday August 23, 2010 1:02 pm

Following up on the last item, the only way that Democrats can reverse the era of e.coli conservatism is by rewriting the rules that currently allow corporate interests to operate without scrutiny. They have the chance to do that in the two areas where they have passed signature reforms, both of which are essentially regulatory [...]

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