[lotsofpulp]

> they do creative things like "outsource" IT or HR to a separate company (with the executives as ovepaid board members)

Source?

I am seeing 10-K reports showing UHC, Anthem, CVS, Cigna, Humana, Molina, Centene, etc all with profit margins ~5% or less.

Is the claim that executives at one or more of these companies is attempting to bypass ACA regulations (and violating fiduciary duties to their own employer) by overpaying for services to outside entities that the aforementioned executives control?

Seems like a grand conspiracy theory.

[candiddevmike]

It's real. You won't see this on the 10-K, you need to look at the 990s (which tend to be hard to find). Here's Blue Cross Blue Shield Association from 2017: https://projects.propublica.org/nonprofits/organizations/135..., under part 7, independent contractors, you see "HEALTH INTELLIGENCE CO LLC". This is Blue Health Intelligence (as in Blue Cross Blue Shield Intelligence): https://bluehealthintelligence.com/. Their board is made up of a bunch of blue cross execs.

They spent 20+ million with this company, how much do you think the execs on the board get paid? No one knows because they're private/for profit and don't have to publish annoying things like a 990.

[lotsofpulp]

BCBS does not sell health insurance though. The companies I listed are health insurance companies, which would be subject to the ACA.

[chevman]

Check out the VC arms of all these insurers. Lot of capital they got! :)