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HHS Unveils Medical Loss Ratio Regulations
Health Leaders Media

New medical loss ratio regulations issued Monday will require health insurers in 2011 to spend between 80% – 85% of consumers’ premiums on direct care for patients and care quality improvements, the Department of Health and Human Services has announced.

The new rules will affect about 74.8 million insured Americans. In 2012, up to 9 million Americans could be eligible for rebates totaling up to $1.4 billion — or $164 per person in the individual coverage market if insurers don’t meet the medical loss ratio, HHS said.