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A comment on U.S. opens UnitedHealth antitrust probe. Parent comment

Re:U.S. opens UnitedHealth antitrust probe by gruez on Wednesday February 28, 2024 @07:28AM (#39537009)
>IME the point of health insurance is simply to collect premiums and not to pay out.

ACA's medical loss ratio provisions basically makes this impossible: https://www.cms.gov/marketplace/private-health-insurance/med...

That's not to say they're not incentivized to deny claims. If you are loose with what you pay out, you could lose money by paying out more than you take in.

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Re:U.S. opens UnitedHealth antitrust probe by throwway120385 on Monday March 04, 2024 @01:41PM (#39594195)
They don't though, because I can buy an insurer and also a medical provider, and pay the medical provider the 80% and then collect my profits through my pet medical provider.
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