Medical loss ratio,MLR

Formula or Equation

medical loss ratio,MLR formula,equation,calculator
MLRmedical loss ratio,MLR
PSHCSQIpremiums spent on health care services and quality improvement,PSHCSQI
PCpremiums collected,PC

Formula or Equation Note

The MLR, also called the 80/20 rule, is one way the Affordable Care Act makes sure you get better value for your health care dollars. The law generally requires that 80% or 85% of the premiums collected by insurance companies be spent on health care services and health care quality improvement rather than on overhead, administrative costs, and profit.

Calculator(how to use calculator?)

medical loss ratio,MLR formula,equation,calculator
Premiums spent on health care services and quality improvement (PSHCSQI)
Premiums collected (PC)
Medical loss ratio (MLR)


  1. Wikipedia article: Loss ratio.

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