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medical loss ratio

Reform and Implementation - State by State

Friday, February 17th, 2012 - 16:36
By: 
Friday, February 17, 2012 - 15:30
Around the country, states are attempting to craft their own policies toward health reform from health exchange infrastructure to medical loss ratios imposed on the very insurers who will offering plans within the new marketplaces. Here's a sampling of the stories from the past week: The Star Tribune reports that the Minnesota legislature reaches a compromise to lay the foundation for a Health Insurance Exchange.

Texas Denied Waiver on Medical Loss Ratio Requirement

Monday, January 30th, 2012 - 9:33
By: 
Monday, January 30, 2012 - 08:09
The Associated Press reports the Department of Health and Human Services rejected Texas' appeal for a waiver to gradually come into compliance with the Affordable Care Act's medical loss ratio 80-20 rules. Medical loss rules require health insurers to allocate a minimum percentage of their revenues towards covering health care and not administrative costs. In this case, the minimum standard is 80%.

Final Medical Loss Ratio Rule Rebuffs Lobbying By Insurance Brokers

Monday, December 5th, 2011 - 12:19
Monday, December 5, 2011 - 11:09
The Obama administration has issued a stringent rule to regulate the implementation of medical loss ratios, which are requirements that insurance companies spend set percentages of their premium income on medical care, as opposed to administrative expenses.

HHS Gives Waivers to Two More States; Effort to Boost Primary Care Options in Danger

Monday, May 16th, 2011 - 14:41
Monday, May 16, 2011 - 13:48
The Department of Health and Human Services has granted Nevada and New Hampshire waivers allowing them to meet medical loss ratio requirements on a more gradual basis, according to The Hill. This brings the number of states that have been granted such waivers to three, with Maine recently receiving a waiver.

Nine States Want Relief From Medical Loss Ratio Requirement; Appeals Court Hears Mandate Challenge

Tuesday, May 10th, 2011 - 8:25
Tuesday, May 10, 2011 - 07:56
Nine states are pleading with the federal government to relax medical loss ratio requirements because of fears that the rules will destabilize their insurance markets, according to Kaiser Health News. Maine has already received a temporary exemption. Under health reform, insurers must spend at least 80 percent of the premium dollars they collect on patient care or must provide rebates to consumers.

Maine Becomes First State to Get Waiver on Medical Loss Ratio Requirements

Wednesday, March 9th, 2011 - 10:06
Wednesday, March 9, 2011 - 08:41
Maine has become the first state to receive a waiver from the federal government enabling it to delay the enforcement of the medical loss ratio under the health reform law, according to The Associated Press.

HHS Goes With Stringent Medical Loss Ratio Regulations

Tuesday, November 23rd, 2010 - 10:12
Tuesday, November 23, 2010 - 08:44
The Department of Health and Human Services has released medical loss ratio regulations requiring insurance companies, beginning next year, to spend at least 80 percent of their premium dollars on medical care. The Obama administration followed the lead of the National Association of Insurance Commissioners, which presented recommendations, and added a few other stipulations in areas where the NAIC left it up to the feds.

Insurance Commissioners Adopt Strict MLR Standards, Paving Way for HHS Decision

Friday, October 22nd, 2010 - 8:56
Friday, October 22, 2010 - 08:40
State insurance commissioners have granted the wishes of consumer advocates by holding the line on tough new recommendations for the medical loss ratio, according to The New York Times and several other media sources. The recommendation now goes to HHS Secretary Kathleen Sebelius for final approval.

Big Vote Today on Medical Loss Ratio

Thursday, October 21st, 2010 - 8:52
Thursday, October 21, 2010 - 08:32
Today's vote by the NAIC on the medical loss ratio is one of the major early milestones for health reform, as it will pit the forces of insurance companies against the sentiments that drove health reform in a major implementation decision.

The Pressures of the Medical Loss Ratio Decision

Wednesday, September 29th, 2010 - 14:37
Wednesday, September 29, 2010 - 14:18
The time is drawing near for the National Association of Insurance Commissioners to sign off on its recommendations for how the medical loss ratios should be implemented under health reform. They've released a draft rule, which will be voted on by commissioners next month.