If the Affordable Care Act's requirement that insurers spend at least 80% on patient care had come into effect a year early, policyholders would have received about $2 billion in rebates from insurance companies, according to a new report from the Commonwealth Fund.
The medical loss ratio (MLR) provision of the Affordable Care Act (ACA) mandates that starting in 2011, insurers covering large groups must spend at least 85 cents per dollar of revenue on medical care or "activities that improve healthcare quality." For small group and individual plans, they must spend 80 cents per dollar.
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Source: MedPage Today