medical loss ratio News

Texas House Members Object to Medical Loss Ratio Waiver Request

A group of lawmakers in Texas are urging the state’s insurance commissioner to withdraw a request for a waiver to the medical loss ratio (MLR) provision in the federal health insurance reform law. They say the request would cost Texas …

Most Health Insurers Meet Controversial Medical Loss Ratio

Most U.S. health insurers last year would have satisfied the much-disputed spending rules under President Barack Obama’s healthcare reform, according to a new report by a congressional watchdog agency. The rules require insurers such as Aetna and UnitedHealth to spend …

Georgia Allowed to Phase-In Healthcare Law’s Medical Loss Ratio

Health insurers in Georgia have been granted a waiver to a new federal requirement that they spend certain minimums on patient care and quality. U.S. officials on Tuesday announced that Georgia is the eighth state to get such an exemption …

Oklahoma Seeks Waiver on Health Care Insurance MLR Requirement

Oklahoma Insurance Commissioner John Doak is seeking a waiver on a major provision of the federal Patient Protection and Affordable Care Act. Doak requested an adjustment from the U.S. Department of Health and Human Services to new minimum Medical Loss …

Iowa Receives Federal Waiver for Medical Loss Ratio Implementation

Iowa has received a waiver allowing an adjustment to some transitional Medical Loss Ratio (MLR) provisions of the federal Affordable Care Act in Iowa. The Department of Health and Human Services (HHS) granted the waiver request from the state insurance …

MLR Dramatically Impacting Commissions, Agents Tell Regulators

“The impact of the medical loss ratio has been dramatic on the agents and brokers in this country and it was dramatic immediately.” That’s a quote from Beth Ashmore, an independent insurance agency owner from Lubbock, Texas, and a health …

Georgia Seeks Waiver from Medical Loss Ratio Rule

Georgia is requesting a waiver from a key element of the federal healthcare overhaul that sets how much of health insurance premiums must be spent on medical care. Insurance Commissioner Ralph Hudgens said he wants a waiver from the “medical …

California To Enforce Health Insurer Spending Limits

California’s Office of Administrative Law (OAL) has approved state Insurance Commissioner Dave Jones’ request for an emergency regulation to give him the authority to enforce the 80 percent Medical Loss Ratio (MLR) in the individual market established under the Patient …