Some states have turned to minimum loss ratios as a way to lower health insurance premiums, according to NAHU, however, they may not be the most effective way to lower the cost of health coverage.

|

"The loss ratio refers to the percentage of health insurance premium costs used to pay medical claims rather than administrative expenses. Mandated minimum loss ratios have gained popularity because of a misplaced belief that a cap on administrative expenses will lower health insurance premiums. However, in the states that have already tried loss ratio caps, premiums and health care costs are not lower and health care quality is not better. Instead, minimum loss ratios can have unintended consequences," NAHU said in a statement.

|

"Loss ratio advocates suggest that health insurance is expensive because of insurance carriers' profit margins or marketing expenses, but this assessment misses the point that insurance is expensive because medical care is expensive."

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

  • Critical BenefitsPRO information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and BenefitsPRO.com events
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.