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View Diary: Human Lives Lose To Bean Counters: High Risk Pools Closed to New Applicants (117 comments)

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  •  It depends... (0+ / 0-)

    ...on technology investments. Most large companies have bled their operational and admin expenses dry (e.g.., salaries, benefits, contracts) by streamlining, consolidation and automation. Companies are operating at a higher quality and efficiency with far less people. The IT investments are expensive but unlike staff that keep getting benefits, sometimes for a lifetime, they're time-boxed and accrue over time to more than the insurer or provider investing but also can be accrued downstream to purchasers of care or accounted into medical rather than admin.

    •  don't forget that any increases in revenue (0+ / 0-)

      benefit stock holders and not premium payers since in most markets there are usually only 2 major players, maybe 3 in some markets but only 1 in others

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