• SpaceNoodle@lemmy.world
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    3 days ago

    The entire purpose of health insurance is that the patient doesn’t pay for their care entirely out-of-pocket. If the balance owed by the insurer for treatment costs more than their premiums, then the insurer is losing money on that patient. If the insurer arranges for the patient to die, then they stop losing money on that patient.

    • null@piefed.nullspace.lol
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      3 days ago

      But then they have to rebate the remaining balance from the premiums they didn’t spend on healthcare costs.

      How does that make them more money overall is what I’m trying to understand?

      • SpaceNoodle@lemmy.world
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        3 days ago

        I literally just told you. Also, I have no clue what you’re imagining with this nonexistent rebate scheme. The patient won’t be paying any more premiums after they’re dead, but they won’t be costing anything, either. Insurance doesn’t have to give back any previously paid premiums.

        • null@piefed.nullspace.lol
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          3 days ago

          Scenario A: The company takes in $1B in premiums. They spend $800M of it on healthcare costs. They pocket $200M.

          Scenario B: The company takes in $1B in premiums. They deny coverage for $100M. They spend $700M of it on healthcare costs. They rebate their subscribers $100M. They pocket $200M.

          How did those denials put more in their pocket? It’s 20% no matter how you slice it.

      • HellsBelle@sh.itjust.works
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        3 days ago

        Because instead of a physician deciding whether or not someone is transferred to a hospital for treatment - which the insurance company is liable for - the insurers decide who goes or doesn’t go. Seems mostly doesn’t go is their first option, no matter the need.