Medical Loss Ratio rebate exposure
Insurers need to take steps now to understand their MLR rebate exposure, and then take action soon to improve their MLR position and avoid or minimize rebate payouts, which will begin in 2012.
- Large group (101 enrollees or more) — 85% of premium revenue
- Small group (1 to 100 enrollees) — 80% of premium revenue
- Individual — 80% of premium revenue
- Network direction
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- Five things you ought to know about ICD-10
ICD-10 will multiply and alter the codes used for medical information in the US to help the American health care system share data more accurately.