Business Wire March 6, 2025
MCMURRAY, Pa.–(BUSINESS WIRE)–In the latest Healthcare Business Strategy report, Mark Farrah Associates, www.markfarrah.com, summarized key findings from the 2023 MLR report released by the Department of Health and Human Services (HHS). The Affordable Care Act’s (ACA) MLR provision requires health insurers who fail to spend specified percentages of their health care premium income to pay rebates to their customers. The goal of this provision is to curb growth in health care premiums while ensuring that plans are adequately covering healthcare expenses. This brief focused on health plan performance as it relates to the 2023 Medical Loss Ratio, and the related rebates subsequently due to consumers.
Key highlights include:
- In 2023, rebates to consumers have dropped slightly to $957 million,...
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