Defining and Explaining Medical Benefits Ratio (MBR)
When working with my healthcare clients, I frequently get asked about the MBR, or Medical Benefits Ratio. And of course, just like about every other metric, there are a multitude of other names for it: Medical Loss Ratio (MLR), Medical Cost Ratio (MCR), and even just the Benefits Ratio.
Before we start, here are some basics about the MBR. First, this metric has been regulated for the health insurance industry through the Affordable Care Act. According to the Centers for Medicare & Medicaid Services (or CMS – not sure where the other M went):