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To: Lizzie Tudor who wrote (90949)9/30/2007 6:12:58 PM
From: neolibRespond to of 306849
 
Unfortunately in our case the insurance industry not only allows to cover statistically insignificant events, but also manages to subsidize itself off the public, that is the real problem imho.

Not clear. The problem is that a significant fraction walking in off the street without insurance end up stiffing the provider. So the average cost of those paying the higher rate might not be much different.

The Infinite Deductible Plan would need to keep tabs on your credit score. It would basically be a sign to the provider that you are a reliable client (they would not know what your deductible is). If you default on care payments, you loose "coverage". AS such it is a useful product for those who feel they can afford to self-insure, but want the price advantage insured people get. I really think the idea has merit, although the potential customer pool might be small.



To: Lizzie Tudor who wrote (90949)9/30/2007 10:54:21 PM
From: Webster GrovesRead Replies (1) | Respond to 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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