Difference between revisions of "Medical loss ratio"
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(Created page with "=What is a medical loss ratio?= A medical loss ratio is the percentage of health insurance premiums a health insurance company spends on health care services...") |
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Latest revision as of 05:49, 24 February 2017
What is a medical loss ratio?
A medical loss ratio is the percentage of health insurance premiums a health insurance company spends on health care services for health plan members.
The Affordable Care Act, requires that large group plans spend 85% of premiums on clinical services and other activities for the quality of care for health plan members. Small group and individual market plans must devote 80% of premiums to these purposes.