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by kylevedder 1291 days ago
What? They want their bottom line to decrease, not increase. The fastest way to increase their bottom line is to cut costs.
3 comments

Insurance tends to have maximum profit percentages mandated, at least in the US. I'm not an expert in this, but I assume that this results in a bit of a perverse incentive where the only way to increase your profit is to increase your costs.
If that was the case expenses would never be rejected. The truth is more complicated than that.
No, because their income as capped at the premiums collected. They want to spend 80% on expenses, but not more than that. But they also want projected expenses for next year to go up.
Why is that so rarely mentioned in discussions of high healthcare costs in the US? It seems like it could explain everything!
From what I'm seeing, I suspect insurance companies have multiple internal groups, at least one that want to reduce expenses and at least one that wants to increase revenues. Each is motivated independently of the other.
Insurance can only have a fixed percentage profit mandated by US law.

Decreasing the bottomline would literally decrease their profits.