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Minimum Medical Loss Ratio for Insurers

Ratio of insurance expenditures used on care as opposed to administrative or other costs. Under ACA insurance companies are required to issue rebates to consumers if too large a share of the expenditures are allocated to costs not directly associated with care (max of 15% for large group plans, max of 20% for individual or small group plans).

Medicaid Integrity Institute (MII)

A national Medicaid program integrity training center for States, established by the Centers for Medicare & Medicaid Services in collaboration with the U.S. Department of…