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.