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- Health Insurance Rebate Checks Issued to an Estimated 10,000 Arizona Companies
Health Insurance Rebate Checks Issued to an Estimated 10,000 Arizona Companies
Monday, October 15, 2012
One of the many provisions recently upheld by the Supreme Court in the Patient Protection and Affordable Care Act (ACA) requires health insurance issuers to maintain a minimum medical loss ratio (MLR) or they are required to rebate the difference to the policyholder. There are restrictions on distribution of the rebate, in this article Navigant Director James Rough and Scott Richardson from Jaburg Wilk address issues associated with the health insurance rebates.
Medical loss ratio (MLR) rebates from health insurance issuers will be a reality by August 1, 2012. Employers must be prepared to address the issues around distributing and calculating rebates.
Navigant presented during an AHLA webinar providing a brief background of the Medical Loss Ratio (MLR), an analysis of the preliminary data on MLR rebates, and a discussion of the nuances of the MLR regulations to consider when analyzing or reporting MLR data.
Navigant’s Sonya Kwon and Melissa Hulke and Wayne Jacobsen from O’Melveny & Myers examine the regulations and guidance relating to health insurance issuers’ MLR and what employers need to be aware of
Mr. Rough is an Associate Director in the Disputes and Investigations practice. His areas of specialization include forensic investigations, financial restatements, white collar defense, and compliance consulting.
Melissa J. Hulke
Ms. Hulke is an Associate Director in the Healthcare Compliance & Investigations practice. She has led large, complex engagements in litigation, investigations, and compliance-related matters, with experience in national high-profile cases.
Mr. Dixon is a Managing Director in the Disputes & Investigations practice. With 20+ years experience, his work has included accounting investigations, litigation consulting, expert witness testimony, financial due diligence, among others.