[quote=ucodegen]
I didn’t see anything in terms of cost controls.. and I am reading through the text to make sure ..bleh.. where is it? MLR only controls the loss ratio on the insurance companies. It does not control actual medical costs.[/quote]
See §3025 regarding hospital readmission penalties.
The MLR floors cap the insurance premiums, thereby reducing overall cost of medical insurance. Medical insurance is an element of total medical costs.
