[franktankbank]

> Part of the job of a health insurer is to deny unnecessary claims, to be a check on providers, both in procedures and their pricing.

How can this occur with the given incentives? You have parent corp UHG who owns the whole vertical and you've got dumb fucking congress (deduced from Hanlon's razor) saying only a single part of that vertical is capped.

[JumpCrisscross]

> You have parent corp UHG who owns the whole vertical

The group’s gross profits are in line with the legal 80/20 rule. And more-integrated models (Kaiser) exist with better satisfaction ratings.

[lotsofpulp]

Even Kaiser is bumping up against resource constraints (at least in Washington). I know quite a few Kaiser employed doctors and insureds, and they all report declining quality.

Edit: I scrolled down and saw someone else say the same:

https://news.ycombinator.com/item?id=43016691