Health care law saves Arkansas consumers $7.8 million

(KATV, Source: WhiteHouse.gov) Thursday, Health and Human Services (HHS) Secretary Kathleen Sebelius announced that 115,000 Arkansas residents will benefit from $7.8 million in rebates from insurance companies this summer, because of the Affordable Care Act's 80/20 rule. These rebates will average $114 for the 68,300 Arkansas families covered by a policy.

The health care law generally requires insurance companies to spend at least 80 percent of consumers' premium dollars on medical care and quality improvement. Insurers can spend the remaining 20 percent on administrative costs, such as salaries, sales and advertising. Beginning this year, insurers must notify customers how much of their premiums have been spent on medical care and quality improvement.

Insurance companies that do not meet the 80/20 standard are required to provide their customers a rebate for the difference no later than August 1, 2012. The 80/20 rule is also known as the Medical Loss Ratio (MLR) standard.

"The 80/20 rule helps ensure consumers get fair value for their health care dollar," Secretary Sebelius said.

Arkansans owed a rebate will see their value reflected in one of the following ways:

Insurance companies that do not meet the 80/20 standard will send their policyholders a rebate for the difference no later than August 1, 2012. Consumers will also receive a notice from their insurance company informing them of the 80/20 rule, whether their company met the standard, and, if not, how much of a difference between what the insurer did or did not spend on medical care and quality improvement will be returned to them.

For the first time, all of this information will be publicly posted on HealthCare.gov this summer, allowing consumers to learn what value they're getting for their premium dollars in their health plan.

For many consumers, the 80/20 rule motivated their plans to lower prices or improve their coverage to meet the standard. This is one of the ways the 80/20 rule is bringing value to consumers for their health care dollars.

Link:

Health care law saves Arkansas consumers $7.8 million

Related Posts

Comments are closed.