Insurers Gaming the System -- Again, Still

As we said below, we expected insurers to try to construed the "medical loss ratio" -- the percentage of premium dollars spent on health care (as opposed to administration and profits), and urged the Secretary of HHS to require insurers to specify that portion of premium dollars spent on reviewing and denying claims, and disputing appeals. In yesterday's NY Times, a similar concern was voiced in an editorial. The health insurance industry is lobbying hard on this point. You should, too. Call your member of Congress and ask them to encourage HHS to be vigilant in writing the regulations. We all know what should count as health care and what should not. We must urge the federal government to ensure that common sense prevails. Jennifer