WASHINGTON BUREAU — The new minimum medical loss ratio (MLR) rules could be a little looser than some insurers had feared.
Senior Democrats in Congress are arguing that, when they wrote the minimum MLR section of the Patient Protection and Affordable Care Act (PPACA), they meant to put tight limits on the kinds of tax payments that insurers can subtract from "total premium" revenue.
But Beth Mantz-Steindecker, an analyst at Washington Analysis, Washington, and lawyers at O'Melveny & Myers L.L.P., a firm that is working with America's Health Insurance Plans (AHIP), Washington, are predicting that Democratic leaders will have a tough time getting state and federal regulators to implement PPACA the way the Democratic leaders wish they had written the act, rather than how they actually wrote it.
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