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How much health insurers pay for almost everything is about to go public

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Re: How much health insurers pay for almost everything is about to go public

#111

Thanks again President Trump!

I'll admit, this is one thing, perhaps literally the only thing, he did that I think is excellent for individual Americans.

Yep. That, and space force, and cheap energy, and renegotiating trade agreements, and not starting any new wars.

Re: How much health insurers pay for almost everything is about to go public

#112

Earlier quoted context omitted.

How is it disproven exactly? Are you saying 5% is not a lot because it's the number 5 or something?

S&P 500 average profit margin is typically around 10%. So, yes, 5% is low profit margins.

I already said it elsewhere, but I think blindly comparing profit margins across totally different industries is kind of dumb. But continue to compare insurance companies to Apple if you'd like.

Re: How much health insurers pay for almost everything is about to go public

#113
post #2

I'm one of the co-founders of Turquoise Health, mentioned in the article here. We've been downloading and parsing this data all day. It's a really big deal in the industry that the prices that insurance companies pay doctors are now being shared publicly. It will have all sorts of positive impacts over time, hopefully making rate negotiations more consistent and fair between different insurance plans. Right now, 10x…

Where are health providers hosting these data? Could you give an example? Thank you.

Re: How much health insurers pay for almost everything is about to go public

#114

Earlier quoted context omitted.

Doesn't that just mean that they have an interest in keeping these costs high ? The higher the costs, the larger that % is for the in absolute dollars. If all the costs come down, they are allowed to make less money.

Yes. Although painted by reactionaries as a communist plot, ACA was modeled after Massachusetts’ “Romneycare”. It’s typical old school GOP policy of leveraging private sector actors with public sector dollars. It’s not awful policy, but did create bad cost incentives and encourages cartel like health networks.

It’s called Romneycare because he got it implemented as a lightweight alternative to a pending proposal for more universal coverage.

It’s also similar in nature to the Swiss system. Not a lot of GOP voters in Swiss cantons.

Re: How much health insurers pay for almost everything is about to go public

#115

Thanks again President Trump!

I'll admit, this is one thing, perhaps literally the only thing, he did that I think is excellent for individual Americans.

I appreciated the right to trying life saving treatment even if it isn't officially approved or completed trials yet.

Re: How much health insurers pay for almost everything is about to go public

#116

Earlier quoted context omitted.

Yeah, but "something" could be advertising, kickbacks, cherry picking, lemon dropping, making comparison difficult, selectively optimizing visible metrics while balancing with dirtbag fine print, etc etc. Competition != Productive Competition

Then the competition who does not do that crap would offer lower premiums and steal business. Just like any other business that wasted money cannot compete with a business that does not waste money.

And this is only true in a markets that are easy to enter. Starting an insurance company isn’t easy.

Why are profit margins only 5%? Could be many reasons, including collusion. Insurance companies have teams of lawyers whose job it is to navigate existing regulation, lobby for new ones and to push for ones that hurt competition.

Given how shady and complex the entire industry is, we don’t really have a reason to believe that 5% is an accurate number.

Re: How much health insurers pay for almost everything is about to go public

#117

"Doctors hate this simple trick to reduce ." That's the strange spam message I could never understand. Surely doctors would be delighted at any method to improve health? So I always assumed the "trick" to be quackery with dangerous side effects. After all, why else would "doctors hate it"? Eventually I realised these messages are exclusively US American, the only place on the planet where doctors could plausibly rese…

Those messages come from the "health supplement" industry, which is basically a segment of the health industry that the FDA is prohibited by law from regulating. And it entirely feeds on consumer cynicism towards the health industry, despite the fact that the major players in "health supplements" are guilty of everything the health industry is accused of being.

Re: How much health insurers pay for almost everything is about to go public

#118
post #2

I'm one of the co-founders of Turquoise Health, mentioned in the article here. We've been downloading and parsing this data all day. It's a really big deal in the industry that the prices that insurance companies pay doctors are now being shared publicly. It will have all sorts of positive impacts over time, hopefully making rate negotiations more consistent and fair between different insurance plans. Right now, 10x…

A few times I’ve seen a 10x price decrease when I asked to pay cash before.

Sometimes the co-pay alone is more then cash for procedure.

Weekly injections and MRIs is the worst offenders I’ve seen.

Re: How much health insurers pay for almost everything is about to go public

#119
post #82

Earlier quoted context omitted.

Would you like to provide a positive statement that coincides with this negative one?

Copays, deductibles, revenue from providers, etc.

The copay goes to the healthcare provider, not the insurance company. That’s why it’s called copay: You are jointly paying the provider alongside the insurance company.

A deductible is an amount of care that you’re solely responsible for. None of that money goes to an insurance company.

Re: How much health insurers pay for almost everything is about to go public

#120

"Doctors hate this simple trick to reduce ." That's the strange spam message I could never understand. Surely doctors would be delighted at any method to improve health? So I always assumed the "trick" to be quackery with dangerous side effects. After all, why else would "doctors hate it"? Eventually I realised these messages are exclusively US American, the only place on the planet where doctors could plausibly rese…

You are totally wrong. Quackery exists all over the EU and other socialized systems. The idea that you can fix issues by drinking water or vinegar instead of going through Chemo or surgery has always been an easy sell to the gullible.

So you're saying my initial interpretation is the correct one? "Doctors hate this" because it's fake and leads people to false hope and ineffective outcomes? But I'm still confused. Other than as an arresting "attention grab" (as another commenter says) why would someone advertise a product by denigrating it, even semi-ironically?
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