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Insurers try to weaken spending rule, group says
Modern Healthcare

A grass-roots organization is accusing the insurance industry of trying to undermine the medical-loss ratio provision of the new health reform law. “There’s a new fight in healthcare reform, and if the insurance industry wins it, we lose,” Ethan Rome, executive director of Health Care for America Now, or HCAN, said at a news briefing to release a new report that says insurers are putting pressure on state regulators to weaken this provision, which requires that insurers spend at least 85% of premium dollars for large group coverage and 80% for small group and individual coverage on medical care, starting next year.