It’s called medical loss ratio (MLR), and insurers are required by law to spend 80-90% of premiums on medical care. They can get there by overpaying for care o

It’s called medical loss ratio (MLR), and insurers are required by law to spend 80-90% of premiums on medical care. They can get there by overpaying for care or by refunding money/charging less. But they can’t get there with increased internal administration spending.