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Insurance commissioners agree on MLR framework
Modern Healthcare

State insurance commissioners agreed to a framework for regulations for medical-loss ratios, an obscure statistic that will become noteworthy to consumers after next year because it might lead to rebates. The new health care law established minimum medical-loss ratios for insurers, basically setting the percentage of premiums an insurer must spend on health care. Starting next year, the law calls for minimum ratios of 80% for individual and small group health insurance and 85% for large group coverage. If they don’t meet those minimums, hey may have to pay rebates to their customers.