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giantg2 3 days ago

Aren't profit margins restricted by law? Ostensibly, any reduction in expenses should result in some reduction to patients.

mac-mc 3 days ago | parent | next [-]

You increase profits by expanding the amount of money put through the system, leading to a perverse incentive of ever increasing costs.

jordanb 2 days ago | parent | prev | next [-]

The solution to this is to form a Health Group that combines insurance with a whole bunch of provider services. Then approve those claims that result in you paying yourself.

giantg2 2 days ago | parent [-]

These are terrible. Then you have a very small in network option and get screwed when going anywhere else. This is basically what happens with CVS Caremark drug coverage - any recurring prescription must go through them or they won't cover it. They'll only cover one off prescriptions at competitors. It's really pretty terrible, especially if you need a compounded medication. I'm not sure how such an anticompetive racket is legally allowed to exist.

myhf 3 days ago | parent | prev [-]

This new AI reduces payouts by $10MM. The licensing fee is $10MM. Profit margins stay within the legal limits.

TZubiri 3 days ago | parent [-]

"Just set the AI, KICK BACK and relax."

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