Affordable Care Act implementation grinds on. On August 5, the National Association of Insurance Commissioners (“NAIC”) offered an update on its efforts to make recommendation to the HHS Secretary on implementing the minimum medical loss ratio requirements of the new law. The MLR require the health insurers and HMOs make rebates if the percentage of premium dollars spent on benefits and quality efforts fall below 80% in the individual market and 85% in the group market, which includes the FEHB Program.
Here’s a link to the NAIC’s Affordable Care Act implementation page. (Even the IRS has an Affordable Care Act implementation page.) Posted on that page is a lengthy, draft memorandum on the work of an NAIC actuarial workgroup that is trying to decipher the MLR provision. The NAIC plans to offers its recommendations to HHS later this month.