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Employee Benefits Counsel Legal Insights into the Developments that Impact the Employee Benefits Community

Category Archives: Benefit Claim Litigation

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HHS Issues Final Rule Addressing Issues Related to Affordable Care Act’s Medical Loss Ratio Requirements

By Ilyse Schuman The Department of Health and Human Services’ Centers for Medicare & Medicaid Services (CMS) has issued a final rule (pdf) regarding certain issues associated with the Affordable Care Act’s medical loss ratio (MLR) requirements. The new health care law mandates that health insurers, depending on the size of the insurance market, spend… Continue Reading

Posted in Agency Rulemaking, Benefit Claim Litigation, Health and Welfare Plans, Healthcare Reform