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Implications of the COVID-19 pandemic on medical loss ratio for health plans

20 October 2020

Health plans have critical financial decisions to make in the upcoming months with limited data available and wide uncertainty on how the COVID-19 pandemic will transition toward the end of 2020 and into 2021. How will COVID-19 affect a health plan’s medical loss ratio requirements in general and what are specific considerations for the commercial, Medicare Advantage, and Medicaid markets in 2020 and going forward?


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About the Author(s)

Jennifer Carioto

Luis Maldonado

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