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Re:Ask HN: Who Is Firing? by ballenf on Thursday April 16, 2020 @02:32PM (#22892138)
Will be very interesting to watch financial reports from health insurers. Premiums are the same, despite (almost) everyone consuming less health services.

Can Covid costs (at current patient levels) make up for the loss of other claims? I'm doubtful, especially since some Covid costs are evidently borne by the federal government. The suffering of hospitals is circumstantial evidence that insurers are paying out less overall.

Re:Ask HN: Who Is Firing? by lotsofpulp on Thursday April 16, 2020 @09:46PM (#22895471)
ACA requires insurers to refund premiums if they do not spend at least 80% of the premiums on healthcare. See here for more details:

https://www.cms.gov/CCIIO/Resources/Files/Downloads/mlr-repo...

Re:Ask HN: Who Is Firing? by Spooky23 on Thursday April 16, 2020 @04:14PM (#22893042)
No, the covid costs are actually not terribly high.

The other thing is that as millions of employees get laid off, millions of health insurance premiums stop getting paid.

Re:Ask HN: Who Is Firing? by floatrock on Thursday April 16, 2020 @05:30PM (#22893777)
> as millions of employees get laid off, millions of health insurance premiums stop getting paid.

Failure mode of a system where healthcare is tied to employment -- works as long as people keep shuffling around, shatters when a systemic black swan comes along.

And no, cobra doesn't address it. It's just a patch. Anyone actually pay cobra for more than a month or two? You quickly realize just how expensive employer group plans can be for an individual.

Re:Ask HN: Who Is Firing? by abandonliberty on Thursday April 16, 2020 @08:29PM (#22895048)
>a systemic black swan comes along

Nassim would like people to stop saying this. I view him as an authority on the subject.

https://mobile.twitter.com/nntaleb/status/124494673873917952...

Re:Ask HN: Who Is Firing? by SiempreViernes on Thursday April 16, 2020 @06:26PM (#22894207)
> shatters when a systemic black swan comes along

Well, whatever colour the swan is, a pandemic is no any unprecedented crisis. It's frankly more predictable than large scale earthquakes, but many people simply didn't give a shit to plan for it in advance.

Re:Ask HN: Who Is Firing? by cbzoiav on Thursday April 16, 2020 @05:13PM (#22893635)
Although surely a lot of those procedures will just get pushed back until after the pandemic?

Meanwhile there may be costs stemming from complications where the treatment was delayed.