The company says it is protecting nursing home residents by curbing unnecessary hospital transfers. Whistleblowers allege cost-cutting tactics have endangered the elderly
  • null@piefed.nullspace.lolEnglish
    12·
    18 hours ago

    I never told you that you were hallucinating. You said that yourself.

    Oh, I assumed that’s what you were getting at when you were telling me that Obamacare isn’t real.

    I saw the link. It doesn’t outline a law that does what you’re stating. Try again.

    Is this not what I was stating?

    The 80/20 Rule generally requires insurance companies to spend at least 80% of the money they take in from premiums on health care costs and quality improvement activities. The other 20% can go to administrative, overhead, and marketing costs.

    The 80/20 rule is sometimes known as Medical Loss Ratio, or MLR. If an insurance company uses 80 cents out of every premium dollar to pay for your medical claims and activities that improve the quality of care, the company has a Medical Loss Ratio of 80%.

    Insurance companies selling to large groups (usually more than 50 employees) must spend at least 85% of premiums on care and quality improvement.

    If your insurance company doesn’t meet these requirements, you’ll get a rebate on part of the premium that you paid.