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).
A term referring to the likelihood of individuals making different choices due to insurance coverage; usually refers to people over-using medical services.
Multi-state Health Plans
The Affordable Care Act requires every health care exchange to offer at least two multi-state plans – one from a non-profit, and one which does not cover abortion (except as permitted by federal law). Plans are to be overseen by the Office of Personnel Management.