Word: medicaler
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Several nonprofit and medical institutions in Cleveland have turned to the Mondragon model for a consortium of businesses that will provide needed services and bolster an impoverished community. Evergreen Cooperative Laundry, a state-of-the-art commercial launderer designed to be LEED silver-certified, opened for business this fall in...
Insurance companies have a very technical term for this proportion - "medical loss ratio" (MLR) - and critics say the terminology itself illustrates the callousness of the health insurance business. Companies that sell coverage consider revenues that go to pay for medical costs "losses,"; minimizing these losses by dropping sick customers and...
"Insurance companies can do whatever they want with premiums unfortunately, so the medical loss ratio is a superb instrument," Rockefeller said in an interview with TIME, adding that customers have a right to know how much of their premiums are spent on administrative costs like marketing, salaries and profit. "If...
Earlier this year Rockefeller - who is chairman of the Senate Commerce, Science and Transportation Committee - launched an investigation into MLRs. According to Rockefeller, in 2008, insurers in the individual market spent an average of 74% of premiums on health care, compared with 80% in the small group market and 84...
But setting a new national MLR floor is not the end of the equation. The CBO, in its report on the regulations, said insurers might react to new thresholds by "cutting back on efforts to restrain benefit costs through care management." Translation: Anything that doesn't count as "medical costs...