Hacker News new | ask | show | jobs
by lotsofpulp 1062 days ago
Then why do some of them exceed the minimum medical loss ratio by quite a bit? Why did Elevance simply not deny more claims so it could get closer to 80% rather than 90% and book more net income?

https://www.oliverwyman.com/our-expertise/insights/2023/mar/...

> MEDICAL LOSS RATIO TRENDS

>Reported loss ratios are 89.4% for Elevance (fka Anthem), 86.0% for CVS Health (Aetna), 83.8% for Cigna, and 82.8% for UnitedHealthcare. Loss ratios have been impacted by seasonal patterns and the return to more stable utilization than seen in 2020.

Seems like an unsubstantiated conspiracy theory.