Medical Loss ratio: The GOOD-BAD-CONFUSING!
As you might have guessed from my previous posts, I'm more or less in favor of the health care reform mandates, but there are still individual rules I'm concerned about, and some I'm definitely confused about. This post focuses on one such confusing rule--the requirement for payers to use 85 percent member premiums toward the MLR (Medical Loss Ratio). Simply, payers must spend at least 85 percent of the amount they collect toward the cost of care.
Read my views in the article in Health Data Management.
