Tag:

medical loss ratio (MLR)

Latest Headlines

Latest Headlines

HHS requires insurers cite reform law in rebate letter

In a new final rule issued Friday, the Department of Health & Human Services is requiring that insurers inform their members that the rebate checks are a result of the Obama administration's health reform law.

GAO: States strengthen oversight of rate hikes

Many state regulators are reining in health payers' ability to raise premium rates at will as they strengthen their review processes and make them more transparent; however, some states still have

Insurers in Nevada, New Hampshire get MLR waivers

Insurers operating in Nevada and New Hampshire get a reprieve from the medical-loss ratio requirement after HHS granted the two states waivers from the health reform law's provision. The decision

NAIC won't endorse excluding agents from MLR--yet

State insurance regulators have decided to wait for a month or so before deciding whether to endorse a House bill that would exempt agents and brokers from the medical-loss ratio provision, according

Bill would exclude agent commissions from MLR

Reps. Mike Rogers (R-Mich.) and John Barrow( D-Ga.) have introduced a bill that could keep agent commissions out of medical-loss ratio calculations. Rogers and Barrow lined up 14 cosponsors for the

Stock prices rise following MLR rule

Since the Department of Health and Human Services issued its rule on medical-loss ratio (MLR) requirements, it seems insurers haven't fared too badly as stock prices went up after the rule was

New MLR rule requires payers to cut overhead costs

Despite insurers' fears, the Department of Health and Human Services today issued a new medical loss ratio rule that will require health insurers to spend between 80 percent and 85 percent of

Medical-loss ratio could include fraud prevention

Rep. Marsha Blackburn (R-Tenn.) wants insurers' fraud prevention efforts, such as investments in technology, to count as quality improvements for calculating the medical-loss ratio (MLR) that health