Affordable Care Act

  • Medical Loss Ratio (MLR) Rebates: A Timely Reminder

    Medical Loss Ratio (MLR) Rebates: A Timely Reminder

    The Affordable Care Act (ACA) introduced the Medical Loss Ratio (MLR) to ensure that health insurance companies spend a significant portion of premiums on medical care and quality improvement activities rather than administrative costs and profits. When insurers fail to meet the MLR threshold, they are required to issue rebates to plan sponsors. Understanding MLR…

  • PCORI Fee Filing Deadline

    PCORI Fee Filing Deadline

    The Patient-Centered Outcomes Research Trust Fund fee, often referred to as the PCORI fee, can be a source of confusion for employers offering health insurance plans. This article aims to simplify what the PCORI fee is, why it exists, and how it impacts your business. What is the PCORI Fee? The PCORI fee is an…