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California health insurance battle foreshadows national debate
California Watch

Health care reform has left the realm of shouting headlines and entered the phase of sausage making as the industry and government leaders hammer out how it will work on the ground. A fascinating debate that raged in 2006 in California may provide a hint as to what’s in store on the federal level. At issue is the concept of the “medical loss ratio.” It’s a measure of the proportion of premium dollars health insurers spend on medical expenses for patients.

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