The race is on for carriers planning to participate in state insurance exchanges. Under interim final rules issued by the Department of Health and Human Services (HHS) March 12th, states will be allowed the flexibility ...

The statistics are enough to keep anyone awake at night: Of the people who purchase their own coverage, HHS estimates that 45% are in plans that don’t meet the minimum MLR, while 9 million people ...

The Minimum Loss Ratio (MLR) mandate contained within the Patient Protection and Affordable Care Act of 2010 (PPACA) has created a myriad of compliance requirements for health plans. The most complex and potentially costly of ...