Go back to the original message you replied to.
Where is the "keep your plan, keep your doctor?" Non-existent. My wife had to go into the ACA when I retired and went on Medicare. Through my work we were paying $319 per month for family coverage with $3500 deductible and $25 co-pays. She is 9 years younger than me. Her first single coverage was over $800 a month with $7500 deductible. We couldn't pay that. So she got a plan that very few doctors or clinics were even in to get a $500 a month with $7000 deductible. She lost her doctor, had to change Knee doctors for her replacement surgery and had to pay $3500 up front out of pocket and set up a payment plan. She tried to go back to BCBS and her $800 plus monthly payments but they had gone to $1350 per month due to ACA restrictions and adjustments. She just found a sub- policy underwritten by a division of BCBS for around $700 per month and $35-$100 deductible to get to use all her previous doctors and clinics. We are limited to UMMC and St. Dominic Hospitals which is okay. There are still hundreds of thousands of people getting free health coverage or under $100 who are capable of sharing the load but don't have to because the middle class workers are toting the load for them! Don't pee on my leg and tell it's raining. I'm living it!
And if the ACA had never passed, there's a good chance your wife wouldn't have been able to buy individual health insurance at all, or maybe should would have had to get a physical and be placed in a high-risk health tier with a huge surcharge. Or had that knee replacement lasered out and not covered. And remember that the old pricing rules would have charged her a steeper slope in age factors and an extra charge just for being a woman on top of all of the above.
They don't charge insurance companies more than cash customers.Insurance companies certainly don't pay more than cash customers do. They pay way less. Price charged has little to do with reimbursement rates when third parties are involved. You don't seem to have any comprehension of that.it’s not what?
So maybe that is me but the thread was started to point out how Insurance companies have increased stock prices since 2010. So using the justification for this thread, which is Health Insurance companies have seen increases in stock prices and that means something and literally the only reason why this thread started. Can we use math? This chart shows the S&P growth over the last 15 years. And as you can see Health Care underperforms the S&P mean. Again, it doesn’t matter because facts and math is no longer applicable in your weird delusional world, but I just thought I would offer it as a possible data point.
So then you don’t think insurance companies are making tons of money and taking advantage of people?
www.forbes.com
Are they taking advantage of people? Of course they are, but that’s Capitalism. If I can sell my tulips at $5 and make a profit or sell my tulips at $10 and make a bigger profit, of course I am selling them for $10. And more power to me. Corporate Greed, Inflation, yada yada is not the businesses fault, it’s the consumer’s. The caveat is with ACA the scale is tipped for the insurance companies because the government is saying you have to buy tulips. Portions ACA that I like, pre existing condition coverage, and preventative care at no cost. I hated the mandate and wished we would have been given a public option. But the insurance companies and think tanks such as the Heritage Foundation were vehemently opposed to that for obvious reasons. I’m sure someone already pointed out the slim profit margins that insurance companies make but that’s cuntshit. That doesn’t factor in the robust executive pay, the “networking” retreats, bowl game sponsorships, board member conferences and all of the other “perks” that are wasted on people with letters behind their name.
Congrats, you just identified every major corporation operating in America.
Not nearly as much as technology or consumer discretionary companies according to the returns. The moment you bìtch about a business being greedy is the moment you advocate against capitalism at some level.
Would have to see specifically what their numbers are saying/pulling from, but generally hospitals set prices high (like 225% of Medicare rates) as the “price” then use that as a starting point for negotiations with insurers. It’s called a chargemaster. You do it because billing exactly the negotiated rate for each service and plan is complex, and you run risk of underbilling, so they’d rather overbill then let the insurance pay the agreed upon rate on their endWhy Are Cash Prices Lower Than Health Insurance Negotiated Prices?
Growing evidence demonstrates a counterintuitive phenomenon in healthcare: the cash price is often cheaper than insurance prices for the same service or product.
Who isn’t comprehending?
To be clear i'm not bitching about insurance companies being greedy.
I'm not upset about companies making money. I like when companies make money but that generally keeps me employed.
You can be a capitalist and not take advantage of people.
This created more risks. More risk means more cost.
Public as in the government run it? The reasons are obvious. The government should stay the hell out.
Every company in america does similar things and many are making 15% to 25% to the bottom line. So insurance companies are fairly pricing their premiums.
When they negotiate cash payments they aren't losing money. Not most of the time anyways. Otherwise they wouldn't do it.
I didn’t say they were losing money. The point is that the chargemaster prices are typically way above actual negotiated rates or the cost, so self pay patients often see that charge initially
Yes my point in all that is if they will take a cash payment at significantly less and make money then they are over charging insurance.
Are you in the business? Even your article doesn't say what you are saying occurs across the board.Why Are Cash Prices Lower Than Health Insurance Negotiated Prices?
Growing evidence demonstrates a counterintuitive phenomenon in healthcare: the cash price is often cheaper than insurance prices for the same service or product.
Who isn’t comprehending?
this is directly from the article and exactly what i said.
That word often is in there. Again, are you in the business? Ever negotiated with an insurance company as a provider?
Again, you're just making up fake quotes to call people hypocrites without bothering to hear what they're actually saying. The world is complex and nuanced. You can't simplify it down into two brief blanket statements like that.
Plenty of leftists attack insurance companies with a broad brush.
These are your exact words copied and pasted
LOL, you really like that article. You still don't know what you are talking about.
I feel like you and I agree.
Yeah you didn’t even try to explain that.
It’s that they accept lower payments than their original charge based on need, often at a loss. Nonprofits are forced to meet certain standards around this
I can agree with this. L4 never said this though. He said it didn’t happen.
No, I wasn't wrong. You still have absolutely no idea what you are talking about. Once again, are you in the business?
