Common use of Medical Loss Ratio (MLR) Clause in Contracts

Medical Loss Ratio (MLR). The proportion of premium revenues spent on clinical services and quality improvement by the Contractor as calculated in accordance with the requirements of 42 C.F.R. § 438.8.

Medical Loss Ratio (MLR). The proportion of premium revenues spent on clinical services and quality improvement by the Contractor as calculated in accordance with the requirements of 42 C.F.R. § §438.8.

Medical Loss Ratio (MLR). The proportion An adjusted metric for measuring the ratio of (i) incurred claims plus expenditures for activities that improve health care quality plus expenditures on activities to comply with certain program integrity requirements divided by (ii) adjusted premium revenues spent on clinical services and quality improvement by the Contractor revenue, as calculated defined in accordance with the requirements of [42 C.F.R. § 438.8].