The Kaiser Family Foundation has published two articles recently about the MLR rebates that will be sent out this fall. The first article, from June 1, explains that “insurance companies are expecting to pay out $1 billion in rebates to consumers this fall under” the ACA’s minimum Medical Loss Ratio provision, which requires individual and small group plans to spend 80% of the premium they collect on medical claims and large group plans to spend 85%. If they fall short of these numbers, the excess premium must be returned to their policyholders.

After making all the appropriate statements about how awful the restrictions were and about the tragic loss of life, people will be talking for years about the positive things that came out of the COVID-19 pandemic. America—and the world, really—has re-evaluated its priorities and changed the way we think about work. People discovered how to do things remotely. We learned how to Zoom, homeschool children, order groceries, food, and pretty much everything else to be delivered to our door, and even visit the doctor from the comfort of our own home. And the uninsured rate reached record lows.

Back in 2010, shortly after the Affordable Care Act was signed into law, there were predictions that 30 million people would gain health coverage under the Affordable Care Act. That number was used to convince lawmakers to support the law, to sway public opinion, and to develop multi-year budgets.