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US medical insurance companies are currently incentivized to create a *very* expensive system of care The ACA's 80/20 rule dictates that all administration + profits be <20% of premiums. Rising premiums mean higher profits, but premiums can't rise unless medical costs do
From The Drive w/ @PeterAttiaMD, explaining why your insurance company is happy to pay $1000 for a drug that the manufacturer will accept $300 for if you pay directly. You wind up paying the difference in your premiums.
This is a stupid take
Ermm working in an HMO I see your point but also disagree. We have competition with other HMOs to keep cost down or lose membership as everyone is looking for cheap alternatives but our hands are tied in a few ways..
1) Health systems are keeping oligopolies in many states. 2) state mandates you have coverage in all counties 3) means you need the health systems, state enforced their buying power and insurance can’t negotiate good rates
Since Obama said insurance company profits can only be a % of what they spend, now they WANT to spend AS MUCH AS POSSIBLE! SO STUPID!
#68 with @MartyMakary: https://peterattiamd.com/martymakary/
Who also wrote a book about this sort of thing: https://smile.amazon.com/Price-We-Pay-American-Care/dp/1635574110 …
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