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The discussion about the 80/20 rule is just miserable. Classic example of hiding behind industry lingo and scolding tone to shame others into shutting up.
The rule is supposedly that health insurance providers must pay a minimum percentage of their gross income in claims.
For all their smugness, this zb2929 is missing some obvious ways that this magic rule solves nearly nothing about the problems of ordinary customers.
All the rule does is enshrine a “legitimate” profit margin for insurers. It doesn’t do anything to protect people from inflated premiums or the delay, deny, depose tactics used to get these insurers to their “deserved” profit margins.
All the rule does is enshrine a “legitimate” profit margin for insurers.
Ding ding ding.
It’s almost as if the ACA was an insider bill that was accepted by the entire industry because it allowed them to reset the economics of the business without one insurer feeling like they were taking a loss.
The vast majority of the ACA is literally about risk portfolio balancing between private companies.
The regulations on profit essentially changed the game and is why most insurance companies are now vertically integrated with pharmacies, concierge medicine, or even entire medical systems. It’s the only way you can charge more for insurance without having to rebate out is by capturing your own payouts which allows you to keep MLR.
- Year 1: You pay $100 for insurance and insurance pays $80 for your meds to the insurance company pharmacy.
- Year 2: You pay $105 for insurance and insurance pays $84 for your meds to the insurance company pharmacy.
Creative accounting. That’s why every insurance company makes special pharamcy benefits rules for the in house pharmacy and spams you with “switch your prescription to Optum RX”
That comment on vertical integration is fascinating and would change the calculation quite a bit.
Yeah look up Kaiser Permenete, absolute leaders in the shit, they have contracts on a whole bunch of public employee health care too in Western States.
They also take from both ends, since they have some of the most overworked nurses and hospitals. They’re unionized but almost every contract negotiation ends up in a strike.
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God imagine crying this much over a dead lich who made a fortune off of denying zofran to kids receiving chemotherapy.
That whole sub is basically just performative contrarianism done by morons who think reddit is primarily “leftist”
The insurance Industry being opaque about their denial numbers doesn’t absolve them. FFS if Gerber says “we’re not disclosing how many babies get lead poisoning from our food,” the conclusion from that is not “well we don’t have solid numbers so must not be a problem.”
“If it was a problem, the market would solve it”
-Neoliberals
no don’t you know in our free market economy every one has perfectly accurate information at all times that’s what my favorite economists tell me otherwise something about personal responsibility
I need to see the data
I have never been more glad to be free from that cesspit, jesus
I would like to take this opportunity to say:
Sweatshops are morally good
When such people try and justify the murder of a man because UnitedHealth supposedly has the highest denial rate or because Brian Thompson was supposedly being investigated for insider trading, these are likely just after-the-fact justifications. If Brian Thompson was the CEO of Coca-Cola, I’m sure they’d try and justify his murder by pointing to obesity rates, plastic waste, and evil chemicals like HFCS.
Organ donation. Now.
If Brian was any of the other Brians of the world, he would be just as guilty of mass murder. Stopping any of them is self-defense. Coca Cola is the worst plastic polluter in the world and anyone who doesn’t see them as an existential threat to humanity can join this mod in the organ donation line.
If Brian Thompson was the CEO of Coca-Cola, I’m sure they’d try and justify his murder by pointing to obesity rates, plastic waste, and evil chemicals like HFCS.
How about if a death squad of
paramilitariesadventurists broke into Coca Cola headquarters and murdered half a dozen of their board and executives, like they did to workers in bottling plants in Colombia?
If Brian Thompson was the CEO of Coca-Cola, I’m sure they’d try and justify his murder by pointing to obesity rates, plastic waste, and evil chemicals like HFCS.
Libs not beating the allegations on being ignorant of history.
Check out the history around cane sugar you dipshits. It’s more than just earthy nutritional complaints.
One of the most haunting photographs I’ve seen was a black dude whose skin was covered in scars because of stirring boiling sugar pots to make molasses by hand and gobs of molten sugar would stick to his skin and burn the fuck out of him. The misery around the sugar industry goes back centuries.
I mean, I’d point to the coups first and foremost
I clicked on this thinking I wasn’t gonna get mad, then I saw someone with a JOHN BROWN flair? A self proclaimed neoliberal? And my cortisol has spiked so much I don’t know if I’ll sleep tonight.
Someone needs to give these nerds a wedgie.
You could liquidize their entire user base and have a net positive effect on the world
Like with CEOs, but at a much lower rate
This is the most offensive thing I’ve seen in the internet in years.
I may be just a small town CEO of a multi-national healthcare conglomerate…
I can’t even tell if they’re serious or not
god they are such nerds
I will say, appreciated clicking on that for the Ted meme tossed in there.
The fuck do you mean this isn’t a bit!
