Accountable Care Organizations (ACO)Employer HealthcareHealth Care FinanceHealth Insurance

2024 Medical Loss Ratio Rebates

(By Jared Ortaliza and Cynthia Cox for The Kaiser Family Foundation Published: Jun 05, 2024)

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 individuals and employers that purchased coverage. Continue reading here…

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