The Center for Consumer Information and Insurance Oversight is giving health insurers advice that could cut the insurers' earnings this year and increase the size of the rebate checks going out to enrollees.
Teresa Miller, acting director of the CCIIO oversight group, issued her advice — contained in CCIIO Technical Guidance (CCIIO 2013-0003) – after looking at how insurers should handle fees related to the Patient Protection and Affordable Care Act when they are calculating PPACA medical loss ratios and MLR rebate payment amounts.
The PPACA requires health insurers to spend at least 85 percent of large-group health insurance revenue and 80 percent of individual and small-group health insurance revenue on health care or quality improvement efforts or else make up the difference by sending rebates to the enrollees.
Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.
Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:
- Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
- Educational webcasts, white papers, and ebooks from industry thought leaders
- Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
Already have an account? Sign In Now
© 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.
Allison Bell
Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.
