Search Results for keywords:"medical loss ratio"

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Search Results: keywords:"medical loss ratio"

  • Type:Rule
    Citation:90 FR 4424
    Reading Time:about 11 hours

    The Department of Health and Human Services (HHS) issued a final rule detailing changes to regulations associated with the Affordable Care Act (ACA) for the year 2026. This rule covers various elements such as payment parameters, risk adjustment programs, and changes to user fee rates for health plans offered through Exchanges. It also introduces modifications to how quality improvement and medical loss ratio reporting are managed, aiming to enhance health equity, reduce health disparities, and minimize the administrative burden on healthcare providers. These updates are part of ongoing efforts to ensure consumers have access to quality and affordable health coverage.

    Simple Explanation

    The government made some new rules to help people get good and affordable health insurance by changing how healthcare providers manage money and report quality improvements. These changes aim to make sure everyone can have better healthcare without too much confusion or extra work.