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Health insurers to investors: We’re good. Health insurers to lawmakers: Help

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Re: Health insurers to investors: We’re good. Health insurers to lawmakers: Help

#12

Sliver lining: at least there is a place where lies/misinformation/propaganda doesn't fly in the US: the SEC.

I think you forgot the /s. The SEC is hopelessly corrupt.

Citation?

Re: Health insurers to investors: We’re good. Health insurers to lawmakers: Help

#13

Expensive and routine care has been cancelled but people are still paying for health insurance.

You’re 100% correct. I just received a check from my auto insurance due to covid and the decreased risk of accidents. Will I receive a check from my health insurance since I am unable to receive routine care? Why should I be paying for a service I cannot use?

My wife’s grandfather was scheduled for bladder surgery. They canceled it indefinitely. We do not live in a big metropolis and our hospitals aren’t crowded (I drive by daily). He’s in the most pain he’s ever been in and all they want to do is up the pain killers. It’s completely fucked.

Re: Health insurers to investors: We’re good. Health insurers to lawmakers: Help

#15

Expensive and routine care has been cancelled but people are still paying for health insurance.

You’re 100% correct. I just received a check from my auto insurance due to covid and the decreased risk of accidents. Will I receive a check from my health insurance since I am unable to receive routine care? Why should I be paying for a service I cannot use? My wife’s grandfather was scheduled for bladder surgery. They canceled it indefinitely. We do not live in a big metropolis and our hospitals aren’t crowded (I d…

The affordable care act specifies that 80% of premiums must be spent on medical expenses. If not, the consumer gets a rebate at the end of the year.

See e.g. https://www.investopedia.com/terms/m/medical-cost-ratio.asp

Re: Health insurers to investors: We’re good. Health insurers to lawmakers: Help

#16

Sliver lining: at least there is a place where lies/misinformation/propaganda doesn't fly in the US: the SEC.

relevant:

https://www.bloomberg.com/opinion/articles/2019-06-26/everyt...

>Securities fraud is a universal regulatory regime; anything bad that is done by or happens to a public company is also securities fraud, and it is often easier to punish the bad thing as securities fraud than it is to regulate it directly.

parent commenter is right, securities fraud is probably the best ways we have to prosecute "bad" behavior.

Re: Health insurers to investors: We’re good. Health insurers to lawmakers: Help

#18
post #15

Earlier quoted context omitted.

You’re 100% correct. I just received a check from my auto insurance due to covid and the decreased risk of accidents. Will I receive a check from my health insurance since I am unable to receive routine care? Why should I be paying for a service I cannot use? My wife’s grandfather was scheduled for bladder surgery. They canceled it indefinitely. We do not live in a big metropolis and our hospitals aren’t crowded (I d…

The affordable care act specifies that 80% of premiums must be spent on medical expenses. If not, the consumer gets a rebate at the end of the year. See e.g. https://www.investopedia.com/terms/m/medical-cost-ratio.asp

Interesting, I never heard of this. Then isn't this just the smoking gun to explain why it seems health insurers in the US are apparently so cool with skyrocketing healthcare costs, which then increase the 20%?

Re: Health insurers to investors: We’re good. Health insurers to lawmakers: Help

#19
post #15

Earlier quoted context omitted.

You’re 100% correct. I just received a check from my auto insurance due to covid and the decreased risk of accidents. Will I receive a check from my health insurance since I am unable to receive routine care? Why should I be paying for a service I cannot use? My wife’s grandfather was scheduled for bladder surgery. They canceled it indefinitely. We do not live in a big metropolis and our hospitals aren’t crowded (I d…

The affordable care act specifies that 80% of premiums must be spent on medical expenses. If not, the consumer gets a rebate at the end of the year. See e.g. https://www.investopedia.com/terms/m/medical-cost-ratio.asp

Note that this rule doesn't apply to the very large employers that self-insure.

Refer to: https://fas.org/sgp/crs/misc/R42735.pdf

Re: Health insurers to investors: We’re good. Health insurers to lawmakers: Help

#20
post #15

Earlier quoted context omitted.

You’re 100% correct. I just received a check from my auto insurance due to covid and the decreased risk of accidents. Will I receive a check from my health insurance since I am unable to receive routine care? Why should I be paying for a service I cannot use? My wife’s grandfather was scheduled for bladder surgery. They canceled it indefinitely. We do not live in a big metropolis and our hospitals aren’t crowded (I d…

The affordable care act specifies that 80% of premiums must be spent on medical expenses. If not, the consumer gets a rebate at the end of the year. See e.g. https://www.investopedia.com/terms/m/medical-cost-ratio.asp

The calculation for ACA is based on a three year average of low MCR, so you wouldn't get rebate solely due to a year of decreased medical loss
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