Affordable Care Act (ACA)Health Care Finance

Data Note: 2022 Medical Loss Ratio Rebates

(By Jared Ortaliza, Krutika Amin, and Cynthia Cox for Kaiser Family Foundation published June 1, 2022)

The Medical Loss Ratio (MLR) provision of the Affordable Care Act (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 their enrollees. Continue reading here…

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