And all this has occurred while slowing the cost of premiums. And one of the reasons premiums are being kept in check? A provision of the law called the Medical Loss Ratio (MLR). This provision is designed to force insurers to reduce adminstration costs, which are much higher in the private sector than public insurance programs like Medicare, or send rebates to customers. MLR requires health insurers to spend at least 80% of their premium revenue on patient care. Any amount below that and insurers must send rebate checks to their customers.
A new report shows that MLR is having its intended effect. Insurers are reducing their adminstrative costs and passing the savings onto consumers. Talking Point Memo reports:
"The medical loss ratio requirement and rate review mandated by the ACA put downward pressure on premium growth," officials from the federal Centers for Medicare and Medicaid Services wrote in their report. Overall private insurance spending, of which premiums are a part, grew at a 2.8-percent rate -- the lowest since at least 2007.And, yet, here is the all important meme-worthy observation:
As Larry Levitt, vice president at the non-partisan Kaiser Family Foundation, put it to TPM in an email: "That is how it's intended to work."
"I think it has had a substantial downward effect on premium growth, frankly more than I expected when the health law passed," Levitt said. A year ago, the group examined MLR's effect and estimated that consumers collectively saved as much as $2.8 billion in premiums in 2011 and 2012.
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