Healthcare Finance News June 10, 2024
The rebates that will be issued later this year will be larger than those issued in most prior years, the analysis found.
Health insurers are projected to pay about $1.1 billion in Affordable Care Act medical loss ratio rebates this year, a new KFF report finds.
The medical loss ratio (MLR) provision of the ACA limits the amount of premium income that insurers can keep for administration, marketing and profits. Insurers that fail to meet the applicable MLR threshold are required to pay back excess profits or margins in the form of rebates to individuals and employers that purchased coverage.
The $1.1 billion in estimated total rebates across commercial markets are similar to the $1 billion in total rebates issued...
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