UnitedHealthcare UnitedHealthcare took in collected $24.4 billion in adjusted premiums during 2017 and paid out $86.8 million in rebates in the large-employer market. (Photo: Shutterstock)

A requirement of the Affordable Care Act is that insurers pay rebates to customers if they fail to spend specific percentages of premium revenue on medical care and quality improvement programs. And in 2017, UnitedHealthcare ended up providing rebates to both large and small employers that were approximately 40 percent higher than the previous year, totaling some $146.2 million.

As reported by the Minneapolis Star Tribune, new data from Pennsylvania-based market research firm Mark Farrah Associates finds that in 2016, UnitedHealthcare provided rebates of about $104.3 million, compared with 2017's $146.2 million—in line with a broader trend of slightly improved profitability for carriers in 2017.

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Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.