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Strategies & Market Trends : The Residential Real Estate Crash Index

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To: Lizzie Tudor who wrote (90949)9/30/2007 10:54:21 PM
From: Webster GrovesRead Replies (1) of 306849
 
The "buying pool" concept is an artifice created by the insurance provider to justify its claimed benefit. Their is actually only one buyer - the carrier. Ideally the insured should be charged for service and be reimbursed by the carrier for contract amount, but that's not how it works. Carriers negotiate rates with hospitals to cover real costs plus a profit to the carrier. Hospitals accept the carrier's negotiated amount because they can still make a profit. Hospitals mark up their product and make an "adjustment" to reach the carrier's negotiated rate. The hospital then attempts to charge walk-ins and the unsophisticated the full "rack rate" to increase its profits, a large part of which is lost to non-payments by all those (uninsured) emergency room cases. Historically, a properly run insurance carrier made its profits solely by holding your money for a period of time, premiums and costs should balance out. Nowadays the carrier wants to cut those costs without changing any other parameters in the game. The insured is not a player in this game, only a piece on the board.

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