News Headlines Article

Healthcare War! Hospitals, Doctors, Insurers Spar Over Defining Medical Expenses

In the implementation of healthcare reform, the most important battleground for health insurers is the Affordable Care Act’s requirement that they spend a minimum percentage of their premiums on medical care — 85 percent for large-group plans and 80 percent for plans covering individuals and small companies. So the insurance companies are fighting tooth and nail to ensure that the official definition of what constitutes a medical expense is as broad as possible.