Writing New Rules for Insurers
To the Editor: In his Perspective article, Jost (Nov. 11 issue) 1 discusses the medical loss ratio — the percentage of an insurer's premium revenue that it spends on clinical services for enrollees. In assessing the medical loss ratio, medical expenses must be defined narrowly to effectively pr...
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| Veröffentlicht in: | The New England journal of medicine 2011-02, Vol.364 (6), p.585-586 |
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| container_title | The New England journal of medicine |
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| creator | Shaffer, Ellen R |
| description | To the Editor:
In his Perspective article, Jost (Nov. 11 issue)
1
discusses the medical loss ratio — the percentage of an insurer's premium revenue that it spends on clinical services for enrollees. In assessing the medical loss ratio, medical expenses must be defined narrowly to effectively provide incentives for cost control and ensure that premiums intended to pay for medical care are not diverted into marketing, administration, and excessive executive compensation.
Current proposals give the insurance industry two enormous new bites into the apple. The new health care reform law (the Affordable Care Act [ACA]) includes “activities that improve health . . . |
| doi_str_mv | 10.1056/NEJMc1014108 |
| format | Article |
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In his Perspective article, Jost (Nov. 11 issue)
1
discusses the medical loss ratio — the percentage of an insurer's premium revenue that it spends on clinical services for enrollees. In assessing the medical loss ratio, medical expenses must be defined narrowly to effectively provide incentives for cost control and ensure that premiums intended to pay for medical care are not diverted into marketing, administration, and excessive executive compensation.
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In his Perspective article, Jost (Nov. 11 issue)
1
discusses the medical loss ratio — the percentage of an insurer's premium revenue that it spends on clinical services for enrollees. In assessing the medical loss ratio, medical expenses must be defined narrowly to effectively provide incentives for cost control and ensure that premiums intended to pay for medical care are not diverted into marketing, administration, and excessive executive compensation.
Current proposals give the insurance industry two enormous new bites into the apple. 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In his Perspective article, Jost (Nov. 11 issue)
1
discusses the medical loss ratio — the percentage of an insurer's premium revenue that it spends on clinical services for enrollees. In assessing the medical loss ratio, medical expenses must be defined narrowly to effectively provide incentives for cost control and ensure that premiums intended to pay for medical care are not diverted into marketing, administration, and excessive executive compensation.
Current proposals give the insurance industry two enormous new bites into the apple. The new health care reform law (the Affordable Care Act [ACA]) includes “activities that improve health . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>21306272</pmid><doi>10.1056/NEJMc1014108</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 2011-02, Vol.364 (6), p.585-586 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
| subjects | Executive compensation Government Regulation Health care policy Insurance, Health - legislation & jurisprudence Managed care Marketing Patient Protection and Affordable Care Act Prevention programs Quality of Health Care - legislation & jurisprudence United States |
| title | Writing New Rules for Insurers |
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