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Medical Loss Ratio and What It Means 6 Jul 2012 | 09:20 pm
With the Supreme Court’s decision upholding the Affordable Care Act, Blue KC will be sending Medical Loss Ratio (MLR) rebate checks to members and groups by August 1. Members who are not eligible for ...
Blue Cross and Blue Shield of Kansas City Statement on ACA 28 Jun 2012 | 09:36 pm
Today, the Supreme Court of the United States upheld key provisions of the Affordable Care Act (ACA). Blue Cross and Blue Shield of Kansas City (Blue KC) will continue to implement the law while work...
New Proposed Fees on Health Insurance Issuers and Plan Sponsors 27 Apr 2012 | 04:54 am
On April 13, 2012, the Department of Health and Human Services (HHS) issued a notice outlining the fees imposed on issuers of health insurance policies and plan sponsors of certain self-insured health...
Blue KC Summary of Supreme Court Oral Arguments for March 28, 2012 – Medicaid Expansion 29 Mar 2012 | 11:26 am
There might be a majority in support of striking down the expansion, but this is far from certain. The key question is whether the expansion of Medicaid is voluntary or not. The government argues tha...
Blue KC Summary of Supreme Court Oral Arguments for March 28, 2012 — Severability 29 Mar 2012 | 11:23 am
Analysts were divided on predictions for how the Court will rule on this question. The arguments about severability deal with what happens to the rest of PPACA if the individual mandate is struck dow...
Blue KC Summary of Supreme Court Oral Arguments for March 27, 2012 28 Mar 2012 | 11:11 am
Analysts are now predicting the individual mandate is more likely to be struck down than upheld. Justice Kennedy is the key vote. The argument hinges on two questions: Is the market being regulated ...
Blue KC Summary of Supreme Court Oral Arguments for March 26, 2012 27 Mar 2012 | 11:35 am
The question argued Monday will probably not delay a decision on whether the individual mandate is constitutional. Both sides want the Supreme Court to decide the case now and not wait until after 20...
Medical Loss Ratio 101 17 Mar 2012 | 05:28 am
According to the Affordable Care Act’s Medical Loss Ratio (MLR) requirements, insurers are required to spend at least 80 percent in the individual and small group market of each premium dollar on care...
Update on Summary of Benefits and Coverage 23 Feb 2012 | 07:00 am
On Feb. 9, 2012, Health and Human Services set forth final regulations on the new health insurance summaries. Health plans will be required to provide these summaries to consumers in an effort to help...
Update on MLR Requirements 11 Jan 2012 | 06:31 am
On March 23, 2010, President Obama signed into law the “Patient Protection and Affordable Care Act” (PPACA) as part of the national health care reform efforts. Included in this act are requirements fo...