Nationwide, Almost All Medicaid Managed Care Plans Achieved Their Medical Loss Ratio Targets

On August 24, 2021, the U.S. Department of Health and Human Services' Office of Inspector General published this review regarding medical loss ratio (MLR) targets of Medicaid Managed Care plans. The report concludes that almost all Medicaid Managed care plans achieved their MLR targets nationwide. Federal requirements for MLRs were established to ensure that plans spend most of their revenue on health care services and quality improvements, thereby limiting the amount that plans can spend on administration and keep as profit . . .