I also heard that insurance companies will be required to spend 85% of what they charge people in premiums, on actual health care services....
15% allowed for overhead/administration costs.
That really surprised me....
had any of you heard about this measure in the bill....
I am uncertain what to make of it....need to think about it a bit....
Now, that actually is interesting. Did you hear it mentioned if this only applied to insurance plans that received government-subsidies (in the form of subsidized premiums for the poor), or is it some general across-the-board requirement?
Although, since most plans currently take medicare, I'm guessing that most will also not want to be cut out of all the new people who will get insured as a result of the mandate.
I'm not quite sure what to make of that either - seems to be essentially capping the insurance companies' profits, but not sure to what end. (and we don't know if this will survive the meshing with the Senate bill anyway, but still).
well, my first thought was, I need to review their numbers, their books, for the past decade to see if 15% administration/overhead costs fall in to the norm of what they have been running...
if it does fall in to the ''norm'' then why write this in to the bill?
Did they foresee insurance companies spending millions more on top level executive salaries from the gift horse of new mandatory customers congress handed them, with the bill paid thru taxes for the affordability credits for millions, and are trying to cover their rear ends down the road when we hear that the CEO worked a $500 MILLION DOLLAR yearly contract with the money from all these mandatory new customers, and they want to curb this from happening by making them use 85% of the money we give them for health care, for actual health care...
MY second thought was HOLY PAJESUS ALMIGHTY, 15% of our collective health insurance costs go to absolutely NOTHING but paying the middle man shuffling papers....and THAT is a TON of money! Medicare spends less than 2% in administrative costs....? less than 1.5% actually...