The company says it is protecting nursing home residents by curbing unnecessary hospital transfers. Whistleblowers allege cost-cutting tactics have endangered the elderly
I absolutely have not. Not once has anyone given me an answer that shows the simple math I outlined is wrong.
Just hostility from what I can only presume is a desperation to save face after you said so many blatantly incorrect things (which, unlike you, I’m happy to quote for you of you don’t believe me).
You should really reflect on why it pains you so much to just admit you didn’t know how the ACA worked.
How are you smart enough to set up an instance but not smart enough to understand companies cutting costs increases profits and that companies are good at breaking laws and getting away with it?
Premiums are revenue. You posted stats showing they are not already getting the 20% portion for themselves, and that 20% portion is for running the business. Rebates never come into play because they never hit the 20%.
If they only get 15% of the revenue from premiums they are only getting 75% of their potential cut which is used to run the fucking business before the possibility of profit comes into play. That means they have a huge incentive to cut any costs they can to approach their 20% cut WHICH THEY ARE NOT ALREADY GETTING.
I already posted the simplest math possible. Your math is wrong. Your assumptions are wrong. Just fucking accept that you don’t understand and believe literally everyone else that understands how this works including the people who write professional articles about the topic.
Can you admit that they are not starting out with their full 20% cut? Fuck, you even posted an article with a nice graph at the bottom showing their net income was under 10% of their gross income except for one carrier in one quarter since 2022!
That is the entire reason you cannot accept any explanations based on the reality that they have room to increase profits.
Again, I quoted you the exact figures that show year over year consistency with aligning to the range required by the law. Do you disagree with their findings?
I absolutely have not. Not once has anyone given me an answer that shows the simple math I outlined is wrong.
Just hostility from what I can only presume is a desperation to save face after you said so many blatantly incorrect things (which, unlike you, I’m happy to quote for you of you don’t believe me).
You should really reflect on why it pains you so much to just admit you didn’t know how the ACA worked.
How are you smart enough to set up an instance but not smart enough to understand companies cutting costs increases profits and that companies are good at breaking laws and getting away with it?
Therefore, no matter how much you drop
b,dis still always going to be 20% ofa.Where does the extra amount in
dcome from?Premiums are revenue. You posted stats showing they are not already getting the 20% portion for themselves, and that 20% portion is for running the business. Rebates never come into play because they never hit the 20%.
If they only get 15% of the revenue from premiums they are only getting 75% of their potential cut which is used to run the fucking business before the possibility of profit comes into play. That means they have a huge incentive to cut any costs they can to approach their 20% cut WHICH THEY ARE NOT ALREADY GETTING.
I already posted the simplest math possible. Your math is wrong. Your assumptions are wrong. Just fucking accept that you don’t understand and believe literally everyone else that understands how this works including the people who write professional articles about the topic.
Premiums are gross revenue.
dhere is net revenue. That is what you misunderstood here. Do you understand it now?I showed you a source that says they are.
No one here has shared a single one…
Can you admit that they are not starting out with their full 20% cut? Fuck, you even posted an article with a nice graph at the bottom showing their net income was under 10% of their gross income except for one carrier in one quarter since 2022!
That is the entire reason you cannot accept any explanations based on the reality that they have room to increase profits.
Again, I quoted you the exact figures that show year over year consistency with aligning to the range required by the law. Do you disagree with their findings?
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The range I’m referring to is the MLR requirements under the ACA.
It’s a range, because they must take on a minimum 80% MLR, but in some cases the law requires them to take an even higher MLR.
People in this thread have been trying to tell me this law does not even exist.