Insurance brokers lose out in final NAIC recommendations
State insurance regulators today made their recommendations for rules governing the so-called medical loss ratio — the proportion of premium dollars health insurers spend on patient care, compared to administrative costs.
As the WSJ reports, the proposed rules were adopted without any of the changes proposed by industry, which would have made it easier for insurers to hit the MLRs specified by the health-care overhaul bill. Those targets: 80% for individual and small-business plans and 85% for large-company plans.
- Readmissions: No Quick Fix to Costly Hospital Challenge
- How Top-Ranked MA Plans Earn Their Stars
- 4 Ways to Lower the Cost to Collect from Self-Pay Patients
- How Hospitals Can Become 'Upstreamists'
- House Calls Key to Pioneer ACO Success
- How Telehealth Pays Off for Providers, Patients
- 4 Tips for Managing Employed Physicians
- Defensive Medicine Still Prevalent Despite Tort Reform
- 'Overtreatment' Debate Circles Back to Lung Cancer Screening
- How Educated Nurses Save Money