Future Of ACA's Medical Loss Ratio Requirement Unclear

December 2, 2016 at 1:58 PM
While one former CMS staffer thinks the ACA's medical loss ratio provision will remain if Republicans repeal and replace Obamacare, a health policy analyst says the MLR policy does not have GOP support and would likely vary depending on the state. The medical loss ratio provision requires most insurance companies that cover individuals and small businesses spend at least 80 percent of their premium income on claims and quality improvement, and the remaining 20 percent on administration and marketing initiatives...


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