4 ms·

If this is the best they can do maybe capital markets don’t work best for insurance companies and they should be taken over. Dealing with them right now feels

If this is the best they can do maybe capital markets don’t work best for insurance companies and they should be taken over. Dealing with them right now feels like dealing with the government might as well just have the government run it

lazide 4y ago
Don’t take it too much at face value. This is the best they can do when all their incentives align so that being as opaque and disingenuous as possible about costs (and understaffing and often screwing it up helps with that!) helps them.
ethbr0 4y ago
Not going to argue. In their defense, I'd say insurers are more innovative (especially on the operations side and post-ACA) than the federal government. IMHO, best of both worlds would be the federal government taking over and centralizing the most core services (rates, interchange, data systems, etc) and allowing private insurance companies to build offerings on top of that (customer service, servicing, product mix, etc).
- rqtwteye 4y ago
  "insurers are more innovative (especially on the operations side and post-ACA) than the federal government." They are certainly very creative in making the system as expensive as possible. See Medicare Advantage. "IMHO, best of both worlds would be the federal government taking over and centralizing the most core services (rates, interchange, data systems, etc) and allowing private insurance companies to build offerings on top of that (customer service, servicing, product mix, etc)." This would be best. There is so much unnecessary bureaucracy at providers and insurers because the insurers have different setups. The medicare setup would be a good foundation .
- wolverine876 4y ago
  > I'd say insurers are more innovative In what way? > especially on the operations side If the US had national, universal health insurance, the operations would be much simpler.

lazide 4y ago

Don’t take it too much at face value. This is the best they can do when all their incentives align so that being as opaque and disingenuous as possible about costs (and understaffing and often screwing it up helps with that!) helps them.

ethbr0 4y ago

Not going to argue. In their defense, I'd say insurers are more innovative (especially on the operations side and post-ACA) than the federal government. IMHO, best of both worlds would be the federal government taking over and centralizing the most core services (rates, interchange, data systems, etc) and allowing private insurance companies to build offerings on top of that (customer service, servicing, product mix, etc).

rqtwteye 4y ago
"insurers are more innovative (especially on the operations side and post-ACA) than the federal government." They are certainly very creative in making the system as expensive as possible. See Medicare Advantage. "IMHO, best of both worlds would be the federal government taking over and centralizing the most core services (rates, interchange, data systems, etc) and allowing private insurance companies to build offerings on top of that (customer service, servicing, product mix, etc)." This would be best. There is so much unnecessary bureaucracy at providers and insurers because the insurers have different setups. The medicare setup would be a good foundation .
wolverine876 4y ago
> I'd say insurers are more innovative In what way? > especially on the operations side If the US had national, universal health insurance, the operations would be much simpler.