8/21/2024
California
As part of the Affordable Care Act, health plan issuers are required to report their medical benefit ratios (MBRs) to the U.S. Department of Health and Human Services on an annual basis. A medical benefit ratio, also known as a medical loss ratio, is the amount of premium revenue spent on medical care and services in a given year.
Kaiser Permanente announced that in Northern and Southern California, their Individual, Small Group, and Large Group MBRs satisfied the required standards for 2023. Therefore, Kaiser Permanente will not be required to issue any Affordable Care Act rebates for 2023 experience.
To achieve this goal, they relied on the advantages offered by their integrated care delivery model, which, enhanced by the technology implemented, brings doctors, hospitals, labs, and pharmacies together to help provide high-quality, affordable healthcare to their approximately 12.6 million members and the communities they serve.
Kaiser Permanente announced that in Northern and Southern California, their Individual, Small Group, and Large Group MBRs satisfied the required standards for 2023. Therefore, Kaiser Permanente will not be required to issue any Affordable Care Act rebates for 2023 experience.
To achieve this goal, they relied on the advantages offered by their integrated care delivery model, which, enhanced by the technology implemented, brings doctors, hospitals, labs, and pharmacies together to help provide high-quality, affordable healthcare to their approximately 12.6 million members and the communities they serve.
Source: Kaiser Permanente