GAO: Most Health Insurers Would Have Met Medical Loss Ratio Standards in 2010
Government Accountability Office (pdf).
Beginning in 2011, the PPACA required large group markets to spend 85 percent of health premium revenues on medical claims and small group or individual markets to spend 80 percent, which are the medical loss ratios.
The report found that the percentage of insurers in the large and small group markets that met or exceeded the MLR standards were 77 and 70 percent, respectively, according to the report. Forty-three percent of insurers in the individual market met or exceeded the MLR standards.
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