U.S. Congressional House Subcommittee Holds Hearing on Medical Loss Ratios – Concerns Expressed about Broker Role

Last Thursday, the U.S. House of Representatives Small Business Subcommittee on Investigations, Oversight and Regulations held a hearing on the issue of the Medical Loss Ratio (MLR) in Washington, D.C. Titled “New Medical Loss Ratios: Increasing Health Care Value or Just Eliminating Jobs?,” the hearing was a forum for views on how the MLRs mandated by the Patient Protection and Affordable Care Act (PPACA) could impact the health care insurance industry. Most individuals testifying expressed concerns about how the MLR formula as currently structured could greatly hinder the ability of brokers and agents to support consumers and business owners when purchasing health insurance.

New Study Predicts Significant Changes to Employer-Sponsored Health Insurance Due to PPACA: Earlier Studies Forecast Less of an Impact

A recent study published in The Online Business Journal by McKinsey Quarterly reveals that many employers knowledgeable about the nuances of health reform are likely to change, restructure or drop benefits for employees as a result of health reform legislation. [1] This stands in stark contrast to research lauded by proponents of health reform, who insisted reform would not lead to a large shift in employer health insurance practices.