Here are four observations:
1. The payers are mandated to pay the rebates due to the ACA’s 80/20 medical loss ratio rule.
2. Insurers pay rebates for individual market premiums directly to the consumers, and pay rebates for small and large groups to the employer.
3. Payers can provide the rebate in the form of a check in the mail, a lump-sum reimbursement to a bank account or a direct reduction in future premiums.
4. Several of the companies paying rebates to Delaware customers include AmeriHealth HMO, Cigna Health and Life Company, Coventry Health and Life and United Healthcare Insurance Company.
Learn more about the value of outsourcing revenue cycle management — Click here!
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