Idaho Goes Rogue: State Authorizes Sale of Health Plans that Violate the Affordable Care Act
…enrollees receive payments from those insurers with a relatively low share of high-risk enrollees. Yes Not clear**** Medical loss-ratio standard Limits how much premium revenue an insurer can devote to profits and administrative costs (20 percent in the individual market) compared to what they spend on patient care and quality improvement. Yes Not clear**** *State-based plans may impose a pre-existing…