December 19th, 2011 by David E. Williams of the Health business blog
The Patient Protection and Affordable Care Act (PPACA) specifies minimum Medical Loss Ratios for health plans. HHS has recently released final regulations on the matter, so I asked Bonnie Washington, Senior Vice President at Avalere Health, to shed some light on the topic in this podcast interview.
We cover a variety of areas including:
- What the definition of a Medical Loss Ratio is, and where the controversy lies in the definition
- What PPACA specifies about MLR for various size plans
- Why some states have applied for waivers from the MLR rules and whether their applications were justified
- How health plans and brokers are reacting
- Whether MLR rules are sound public policy
There was a problem with the original audio file. It’s been repaired now.