Exam term

Medical loss ratio

The share of premium an insurer spends on medical care and quality improvement. The ACA minimums are 80 percent for individual and small group and 85 percent for large group, measured over three years, with a rebate to policyholders if missed.

Lessons that use this term

Florida Healthy Kids Corporation and HIV/AIDS testing requirements Florida
ACA market reforms: preexisting conditions, annual and lifetime limits, essential health benefits, and medical loss ratio New York