According to an issue brief by the Commonwealth Fund:
Individual market:
- Median adjusted MLR - 84.9%
- Percent of credible insurers owing rebate - 31%
- Median rebate per member - $100
- Total rebate paid (in millions) - $128.2
Small-group market
- Median adjusted MLR - 85.0%
- Percent of credible insurers owing rebate - 18%
- Median rebate per member - $29
- Total rebate paid (in millions) - $117.7
Large-group market
- Median adjusted MLR - 89.3%
- Percent of credible insurers owing rebate - 13%
- Median rebate per member - $61
- Total rebate paid (in millions) - $79.0
Note: Date from 2013. Insurers with actuarial "credibility" are those with enough enrollment to be subject to the MLR rule. Adjusted MLRs are defined in note 8 on page 10. n=747 for the individual market, n=667 for the small-group market, n=697 for the large-group market.
Source: Authors' analysis of Centers for Medicare and Medicaid Services medical loss ratio and rebate data
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