exam reports may be a good general indicator of how well a health insurer handles recordkeeping.
articles look at changes in state labor laws.
In other words, many health care experts believe the MLR
rules are no longer as effective as they were intended to be--and because insurance carriers have been exploring the existing loopholes in the MLR
rules for several months now, the horse has essentially left the barn, and implementing MLR
rules on voluntary plans won't have the cost-saving effects the federal government wants.
1) Insurers of large companies (defined by the ACA as those with more than 100 employees) that do not spend at least 85 percent of premium dollars on patient care and quality must refund their customers for the remaining amount; for those that cover individuals and smaller employers, the MLR
is set lower at 80 percent.
When Frank Foley's longrange free was batted away on his goal-line by his Portumna counterpart Joe Keane, the game was up for MLR
Trautwein explained that the MLR
requirements significantly and negatively impact access to health insurance agents and brokers at the very time our economy is the weakest and health care consumers need the most help.
Due to the unpredictable nature of medical costs, the federal MLR
regulations may require that an insurer with lower than projected claim costs pay rebates even if the target MLR
used in its pricing is equal to or greater than the regulatory minimum, without giving the insurer the ability to charge additional amounts to consumers if claim costs are higher than projected.
chairman of the committee, said that PPACA's MLR
requirement gives the HHS sweeping power over the design of health insurance at the expense of consumer choice.
Democrats and other supporters of the MLR
rule argue that it holds insurance companies accountable for rising premium costs and gives companies an incentive to spend consumers' money wisely.
Unfortunately, the law did not statutorily address how to classify independent agent compensation under the MLR
requirements took effect in January 2011 and the first rebate checks are scheduled to reach consumers this year.
Get used to hearing and reading the term MLR
, because it's poised to be one of the industry's biggest hot-button issues as reform takes hold.