HHS Denies Medical Loss Ratio Adjustments for Kansas, Oklahoma

The Department of Health and Human Services recently denied requests from Kansas and Oklahoma to adjust their state medical loss ratio provisions for health insurers, according to a report from The Hill.

The MLR, part of the Patient Protection and Affordable Care Act, requires insurers to spend at least 80 percent of health premiums for individual and small group markets, or 85 percent for large group markets, on medical care by 2014.


Oklahoma asked for a 70 percent MLR for this year, with progressive increases to 75 percent in 2013, according to the report. Kansas asked for a 73 percent MLR for this year, increasing to 76 percent in 2013.

Currently, HHS has rejected MLR adjustments in eight states and has approved slight MLR modifications in six states.

Related Articles on the Medical Loss Ratio:

How Will ICD-10 Costs Be Affected by the Medical Loss Ratio Rule?

Final Regulations on Medical Loss Ratio Issued

GAO: Most Health Insurers Would Have Met Medical Loss Ratio Standards in 2010

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