You could raise premiums, deny less claims.

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Dec 27, 2024
12:07:49pm

Wife_Apologist Political Junky

You could raise premiums, deny less claims.

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Wife_Apologist

Bio page: Wife_Apologist
Joined: Jul 19, 2023
Last login: Dec 28, 2024
Total posts: 3,747 (15 FO)

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Messages

Author

Time

As long as health insurance companies exist

Jericho

Dec 27, 12:05pm

You could raise premiums, deny less claims.

Dec 27, 12:07pm

You're just talking about other insurance companies or policies

Jericho

Dec 27, 12:08pm

Premiums are set based on claim history as approved by state health insurers.

Archaea

Dec 27, 12:11pm

Insurance companies are different now. They are now 'prepaid' healthcare.

Benfica1

Dec 27, 12:15pm

With how expensive car insurance is, that stuff should be covered. 😅

TADOW

Dec 27, 12:32pm

(It's less expensive for good drivers)

Benfica1

Dec 27, 12:58pm

Universal Healthcare doesn’t fix this

EMAC

Dec 27, 12:16pm

You want to experience denials and care rationing? Let's try Gov't Healthcare.

RugbyCoug

Dec 27, 12:32pm

That’s very simplistic thinking. The profit for an insurance company isn’t just 100 less the combined ratio. Insurance

shimmy

Dec 27, 12:51pm

Start an insurance company and solve this major problem for society then

Jericho

Dec 27, 1:18pm

That’s not really responsive but I’ll get to work on that.

shimmy

Dec 27, 1:34pm

I’m probably misunderstanding. How can you be profitable w/ a neg gross margin?

BYU'01

Dec 27, 1:44pm

Investing the money they receive in premium before it is paid out in claims. Carriers are huge investment engines.

shimmy

Dec 27, 2:05pm

I guess I have no idea what you are saying from a GAAP perspective. No insurers

BYU'01

Dec 27, 4:25pm

Of course not, because of the investments. I’m not talking about profitability. I’ll talking about combined ratio which

shimmy

Dec 27, 5:11pm

Google AI explains it better than I do:

shimmy

Dec 27, 5:13pm

Yes, AI helped. If your health insurer has a side gig as a hedge fund, but still

BYU'01

Dec 27, 5:21pm

It’s not a hedge fund, and your health insurance company is absolutely investing your premiums to generate revenue right

shimmy

Dec 27, 5:30pm

Yes, your absolutely right that most benefits administrators do not derive...

BYU'01

Dec 27, 5:36pm

Seems like every other form insurance - life, auto, etc - has clear criteria for

BYU'01

Dec 27, 1:42pm

Insurance has always been the majority supplied by employers in the USA. ACA

Dec 27, 2:25pm

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