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Aren't profit margins restricted by law? Ostensibly, any reduction in expenses should result in some reduction to patients.
by giantg2 1y ago
Aren't profit margins restricted by law? Ostensibly, any reduction in expenses should result in some reduction to patients.
- myhf 1y agoThis new AI reduces payouts by $10MM. The licensing fee is $10MM. Profit margins stay within the legal limits.
- TZubiri 1y ago"Just set the AI, KICK BACK and relax." KickBackDeny.ai take notes YC
- mac-mc 1y agoYou increase profits by expanding the amount of money put through the system, leading to a perverse incentive of ever increasing costs.
- jordanb 1y agoThe 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 1y agoThese 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.