NOVEMBER 24, 2010
Medical Loss Ratios (Updated)
EDITOR'S NOTE: An earlier brief was published November 17, 2010.
Health insurers will soon be required to spend a specific share of the premiums they collect on health care for policyholders.
Beginning in 2011, the Affordable Care Act will require health insurance companies to spend a minimum percentage of the premiums they collect on health care services and quality improvement activities for the people they insure. This percentage is called the medical loss ratio. Insurance companies that sell policies to groups of 100 people or more must spend at least 85 percent of their premiums on health services. Insurers selling policies to individuals or small groups with fewer than 100 people must spend at least 80 percent on health services. Companies that fail to meet these medical loss ratio requirements will have to issue rebates to their customers starting in 2012.
At issue now is how to enforce the mandated medical loss ratios by determining what constitutes health care services. These services have to be separated from administrative expenses, marketing costs, and other insurance company activities to make certain that the laws requirements are being met. However, its sometimes difficult to determine what a health service is and what an administrative expense is. For example, if a health insurer employs nurses to remind chronically ill patients to take their medications, is that a medical cost or an administrative expense?
The definition of what constitutes a medical cost will determine how much money insurers can spend on other business activities and how much they can keep as profits. On November 22, 2010, the federal government issued regulations that instructed health insurers how to make these calculations. The regulations will have a significant impact on medical care costs, consumers premiums, and the kinds of health care services that insurance companies will cover in the future.
When health insurers sell policies, they charge the buyers premiums. The share of premiums that insurers ultimately pay out on health care claims is the medical loss ratio. The restwhat they dont pay out in claimsgoes toward administrative expenses, marketing costs, and profits. Proponents of health care reform argued that insurers spent too much of every premium dollar on administration and profits, and too little on medical claims.
Until recently, there has been little publicly available information on precisely how much insurers do spend on medical costs. Insurance has traditionally been regulated at the state level, and thirty-four states have established medical loss ratios or other reporting requirements, or have imposed limits on insurers administrative expenses (Exhibit 1). More states have established medical loss ratios in the small-group and individual markets than in large-group markets.Exhibit 1
Download Powerpoint Slide
STATE REQUIREMENTS VARY: State-imposed medical loss ratio requirements have varied widely. They reflect differences in rural and urban markets as well as in markets that have different levels of competition. In general, in markets where more insurers are competing for business, regulators have set higher medical loss ratios. For instance, North Dakota requires a 55 percent medical loss ratio for insurers in the individual market, and New Jersey requires an 80 percent ratio.
According to an April 2010 report prepared by the Democratic staff of the Senate Committee on Commerce, Science, and Transportation, the nations largest health insurers in 2009 had medical loss ratios ranging from 68 percent to 88 percent in the individual market; 78 percent to 84 percent in the small-group market; and 83 percent to 88 percent in the large-group market. Because states have defined what constitutes medical care differently, their medical loss ratios differ even more than these numbers would suggest.
Health reform proponents who wanted higher medical loss ratios imposed on commercial insurers often pointed to the contrasts with public health insurance programs. Medicare, the government program that provides health care services to people aged 65 and older and to the nonelderly disabled, maintains a medical loss ratio of 9798 percent. Some people argue that Medicare has different requirements for maintaining reserves (available cash to meet claims) than do private health plans, and that Medicare has lower administrative costs. Medicare has also been criticized by many health care providers for underpaying them for their services.
|What's in the law?
The Affordable Care Act created federal minimum medical loss ratios for all insurers. The minimum ratios are scheduled to take effect in 2011. The law also directed the National Association of Insurance Commissioners (NAIC)an organization of elected and appointed state insurance commissionersto create the formula for calculating medical loss ratios.
The group was charged with drafting uniform definitions of medical and quality improvement activities within the insurance industry that would count toward the medical spending requirement and administrative activities that would not. The quality language in the law was aimed at encouraging insurers to maintain programs that help consumers remain healthy and have better health care outcomes, such as a care management program to help a diabetes patient stay on medication.
On September 23, 2010, a subcommittee of the NAIC issued recommended draft rules for how medical loss ratios would be computed and how insurance company activities are defined and categorized. After receiving feedback from insurance companies, consumer groups, and others, the full NAIC adopted the recommendationswith few changeson October 21, 2010.
IMPROVING QUALITY: The NAIC also established five quality improvement objectives, each of which includes activities that improve health care quality that constitute eligible medical costs. These are programs that address improving health outcomes and reducing health disparities across specified populations; preventing hospital readmissions; improving patient safety, reducing medical errors, and lowering rates of infection and mortality; increasing wellness and promoting health activities; and increasing the use of health care data through information technology to improve quality, transparency, and outcomes (Exhibit 2).Exhibit 2
Download Powerpoint Slide
The NAICs recommendations were then forwarded to Health and Human
Services Secretary Kathleen Sebelius for her review. She certified the
recommendations and released an interim final rule on November 22, 2010.
|What's the debate?
In its simplest form, proponents of a strong medical loss ratio wanted the National Association of Insurance Commissioners and the US Department of Health and Human Services (HHS) to list as many insurance company activities as possible under administrative categories. Senate Democrats who wrote the legislation say that this would improve quality of care and keep premium prices low for consumers by limiting administrative spending and profits and improving transparency. Patient advocates and others cautioned that if the medical loss ratios arent stringent enough, insurers wont do enough to reduce administrative costs and premiums wont come down for consumers.
By contrast, health insurers wanted as many things as possible included under the medical and quality improvement categories in order to more easily meet the minimum spending requirements. They argued that overly stringent ratios will stifle innovation and eliminate quality measures that fall in between the administrative and medical categories, such as 24-hour nurse hotlines and investigating insurance fraud.
DRIVE INSURERS OUT OF BUSINESS?: If the medical loss ratios are overly stringent, companies and many state commissioners are concerned that insurers will leave markets with too few enrollees to make it worthwhile, leaving consumers with few coverage options. They also fear that small insurers will be driven out of business because the requirements dont account for market volatility from one year to the next.
In addition, there is concern that the across-the-board medical spending requirements will specifically harm insurers that serve the individual insurance market. These insurers typically set aside a large portion of premiums as reserves in the early years of a policy to cover the costs of people who will become very sick and incur large medical claims. This so-called front loading leads to lower medical spending ratios, but insurers maintain its necessary to protect them against what could be considerable downside risks.
The NAIC resolved several controversial issues during its work. These include the following:
EXCLUDING COMMISIONS: Insurance agents and brokers wanted their commissions to be excluded from medical loss ratio calculations because of concern that insurers would cut their pay to improve medical loss ratios. The NAIC initially was split; it was inclined to side with the agents but also interpreted the law as saying that commissions should be counted as administrative expenses. Yet state insurance commissioners worried that, without insurance agents who could earn commissions, their own state insurance departments would be flooded with consumer inquiries about how to purchase coverage and file complex claims.
Ultimately, the NAIC approved a resolution to establish a working group with HHS to find some kind of solution to ensure that agents and brokers can remain in the market. In a letter to HHS, NAIC officials underscored the importance of making sure insurance agents and brokers are not short-changed as the rules are implemented.
AGGREGATING PLANS IN DIFFERENT STATES: Insurers wanted to calculate their medical loss ratios by combining plans in different states. The commissioners noted that each state market is different, and consumer advocates worried that insurers would be able to hide low medical loss ratio areas in one region by combining them with other regions. The NAIC decided that insurers can only combine the business they underwrite in one state. So, for instance, an insurers large-group business in Texas will be one medical loss ratio calculation, and its small-group business in Illinois will be another calculation. HHS upheld the decision.
EXCLUDING FEDERAL TAXES: The Affordable Care Act states that federal and state taxes and licensing or regulatory fees should be excluded when calculating the medical loss ratio. The NAIC voted in October that this provision should be construed to include all federal taxes, such as income taxes, except for taxes on investment income and capital gains. But the House and Senate committee chairs who drafted the law have maintained that the provision referred only to new federal taxes on insurers that were put in place through the reform law, and not to other taxes. The lawmakers definition would have made the ratios more difficult for insurers to achieve and would disadvantage insurers that contribute more in taxes. HHS agreed with the NAIC decision.
HANDLING ANNUAL FLUCTUATIONS: Small insurers are particularly susceptible to significant changes in their medical loss ratios from year to year. If few medical claims are filed in one year, an insurers ratio could fall below the federal threshold, forcing the company to issue rebates. In the next year, if many people are sick and file claims and the insurers medical loss ratio goes far above the threshold, the insurer could struggle to recoup those costs. To help smaller health plans, NAIC proposed allowing credibility adjustments, in which an insurer could get additional creditsbased on the amount of their businessadded to the amount of premiums spent on medical claims and quality improvement activities. HHS approved the move. The adjustments are designed to even out the ups and downs that small insurers could see from year to year.
EXCLUDING ANTI-FRAUD EFFORTS: Insurers wanted fraud control programs to be counted as quality improvement measures. They also wanted other activities, such as utilization review (in which a company decides whether or not to cover a particular medical treatment), to be considered medical expenses. The NAIC and HHS ruled that fraud prevention activities must not be included as a quality measure, except for certain costs that lead to recovered money.
The public will have 60 days to comment on the interim final rule released on November 22, 2010, and it will go into effect on January 1, 2011. Early in 2011 insurers will have to file the medical loss ratio forms for their 2010 business. But this first year will just be a dry run to test the system, since penalties will not be assessed for company activities during 2010.
In early 2012, insurers will file medical loss ratio forms for their business in 2011. If these ratios fall short of the federal standards, they will have to pay out rebates to policyholders. If an insurer fails to meet the ratio for three consecutive years, HHS could ban the company from signing up new customers. If it goes five years without meeting the requirement, HHS could terminate the contract of the particular health plan in question.
In the short term, there are some potential resources for insurance companies, however. The NAIC expressed concern about what could happen in a destabilized insurance market if insurers determine its too hard to meet the spending requirements and stop writing new policies. To prevent this, Iowa, Maine, Georgia, and South Carolina have already asked HHS to grant waivers to temporarily reduce the requirements in their states. Other commissioners are expected to follow with similar requests.
DEBATE WILL CONTINUE: NAIC officials caution that their methodologies are well researched, but not perfect. In an October 2010 letter to Secretary Sebelius, they expressed concern about the potential for unintended consequences arising from the medical loss ratio rules. They recommend viewing the rules as a living and breathing document that will have to be adjusted as medicine and insurance evolves. In addition, insurance commissioners say they will be establishing some means by which to test the quality improvement measures that insurers are counting against medical costs. The process has yet to be created, but officials want to ensure that the quality measures actually improve health standards.
The Affordable Care Act gives the HHS secretary authority to adjust the medical loss ratios if they have the potential to destabilize the individual market. Because the law is silent on the secretarys ability to adjust the ratios for the small-group and large-group markets, its unclear whether she could adjust those medical loss ratios as well. Secretary Sebelius has said publicly that HHS wants to ensure a smooth transition as it implements the Affordable Care Act leading up to 2014, when state exchanges will guarantee insurance coverage.
Davis, Patricia A., Jim Hahn, Paulette C. Morgan, Holly Stockdale, Julie Stone, and Sibyl Tilson, "Medicare Provisions in PPACA (PL 111-148)," Washington (DC): Congressional Research Service; April 21, 2010.
Jost, Timothy, "The NAIC's Effort To Find Balance In Its Medical Loss Ratio Regulation," Kaiser Health News, September 30, 2010.
National Association of Insurance Commissioners, "Regulation for Uniform Definitions and Standardized Rebate Calculation Methodology for Plan Years 2011, 2012, and 2013 per Section 2718 (b) of the Public Health Service Act," Adopted by the Life and Health Actuarial Task Force, October 21, 2010.
Robert Wood Johnson Foundation, "Recognizing Destabilization in the Individual Health Insurance Market," Issue Brief, July 2010.
Sebelius, Kathleen, "Making Sure Your Premiums Pay for Care," HealthCare.gov Blog, August 17, 2010.
"State Mandatory Medical Loss Ratio (MLR) Requirements for Comprehensive, Major Medical Coverage: Summary of State Laws and Regulations," America's Health Insurance Plans, April 15, 2010.
US Department of Health and Human Services, Health
Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements under
the Patient Protection and Affordable Care Act (45 CFR Part 158).
US Senate, Committee on Commerce, Science, and Transportation, Office of Oversight and Investigations, Majority Staff, "Implementing Health insurance Reform: New Medical Loss Ratio Information for Policymakers and Consumers," April 15, 2010.
The original version of this brief published on November 12, 2010 stated that insurers must issue rebates if their medical loss ratios "exceed" federal standards. This version clarifies that rebates must be issued if the medical loss ratios "fall short of" federal standards.
|About Health Policy Briefs||
Editorial review by
Health Policy Briefs are produced under a partnership of Health Affairs and the Robert
Wood Johnson Foundation.
Sign up for free policy briefs at:
- From The Editor-In-Chief
- Entry Point: New Success Metrics
- Safety-Net Hospitals And ACA Payments
- Obstetric Complication Rates
- Bundled Payments Fail In California
- Premiums' Impact On CHIP Enrollment
- US Black-White Life Expectancy Gap
- Diabetic Amputations By Income
- Showing MRI Prices Caused Competition
- Health Spending Growth And Recession
- US Behavioral Health Care Data
- PDUFA And Black Box Warnings
- US Tobacco Users And Health Coverage
- View Table of Contents »
- Implementing Health Reform: Tax Form Instructions 29 Aug 2014
- Health Affairs Forum: Graduate Medical Education Governance And Financing 29 Aug 2014
- Exhibit Of The Month: Income-Related Disparities Associated With Negative Health Outcomes 29 Aug 2014
- Collaboration, Consistency, and Community Spirit: How Durham Advances Health 28 Aug 2014
- The Winding Path To Effective Bundled Payment 28 Aug 2014
- New Online Course on IRS Electioneering Rules for Foundations and Public Charities Unveiled 28 Aug 2014
- Commentary: When It Comes to Wealthy Donors, Is the Media Being Critical Enough? 25 Aug 2014
- Consumer-Generated Data in a Big Data World: Report from the California HealthCare Foundation 20 Aug 2014
- Report from the Colorado Health Symposium: Speaking Each Other’s Languages in Health Care 12 Aug 2014
- People Post: Foundation Staff and Board Member News; Job Openings 09 Aug 2014
Now Playing Using Big Data To Transform CareBriefing July 09, 2014
- The Impact Of Rising Vaccine Costs July 16, 2014
- Interview: Former IOM President Harvey Fineberg July 10, 2014
- Using Big Data To Transform Care July 09, 2014
- Conversations In Health Care - Interview With Alan Weil (Community Health Center Radio) June 23, 2014
- Governance And Financing Of Graduate Medical Education September 10, 2014
- Advancing Global Health Policy September 08, 2014
- Using Big Data To Transform Care July 09, 2014
- Provider Consolidation in Health Care May 19, 2014
- Health Spending Slowdown Is Mostly Due To Economic Factors, Not Structural Change In The Health Care Sector
- Americans' Views On Health Policy: A Fifty-Year Historical Perspective
- The Triple Aim: Care, Health, And Cost
- Bundled Payment Fails To Gain A Foothold In California: The Experience Of The IHA Bundled Payment Demonstration
- It's The Prices, Stupid: Why The United States Is So Different From Other Countries
- Annual Medical Spending Attributable To Obesity: Payer-And Service-Specific Estimates
- Rates Of Major Obstetrical Complications Vary Almost Fivefold Among US Hospitals
- Small Primary Care Physician Practices Have Low Rates Of Preventable Hospital Admissions
- Era Of Faster FDA Drug Approval Has Also Seen Increased Black-Box Warnings And Market Withdrawals
- Big Data In Health Care: Using Analytics To Identify And Manage High-Risk And High-Cost Patients
- Big Data In Health Care: Using Analytics To Identify And Manage High-Risk And High-Cost Patients
- Creating Value In Health Care Through Big Data: Opportunities And Policy Implications
- For Big Data, Big Questions Remain
- Big Data In Health: A New Era For Research And Patient Care
- The Legal And Ethical Concerns That Arise From Using Complex Predictive Analytics In Health Care