2 ms·
It would be interesting to explore what would happen if they approved all 850M claims, and what the denominator is. Presumably, these are mostly services rende
by s1artibartfast 2y ago
It would be interesting to explore what would happen if they approved all 850M claims, and what the denominator is.
Presumably, these are mostly services rendered and billed to patients. Most peoples premium would go up, and some people would have less out of pocket.
The bigger uncertainty is what the total claims would like the each subsequent year.
- nradov 2y agoMost claims are ultimately paid by self-insured employers so costs for them would dramatically increase. Most consumers only directly pay a small fraction of total healthcare costs; the majority of costs are paid by their employers. If anything is ever going to force dramatic change in the US healthcare system it's going to be employers balking at absorbing large employee medical cost increases every year.
- s1artibartfast 2y agoI went digging for some numbers, and this article put them at 55% of workers in 2022.[1] https://www.fiercehealthcare.com/payers/large-employers-back-away-self-insurance-small-and-medium-sized-ones-embrace-it-ebri https://www.fiercehealthcare.com/payers/large-employers-back...
- thereisnospork 2y agoI wonder if it wouldn't even be in the insurance companies benefit to do so. By paying out more they can "grow the market" and increase their total profit so long as they increase premiums commiserately.