News Headlines Article

HHS seeks input on insurer-spending rules
Modern Healthcare

HHS Secretary Kathleen Sebelius is calling on state insurance commissioners, health plans and the public to help draw up rules on insurer spending for medical care. The new healthcare reform law requires health plans to spend between 80% and 85% of premium dollars on clinical services and quality, or provide a rebate to members for the difference. Health plans must begin reporting these spending figures—called a medical loss ratio—this year.