NonDawg CEO Killer is a hero or villain?
- By Georgia Jim
- The Dawgchat
- 135 Replies
^^^This ^^^^ Claims greatly reduced except for Covid treatments and admissions. Inpatient facilities were given up to 30,000 per Covid admission by the Federal govt. Windfall for the Insurers and providers especially Inpatient. Primary care providers suffered...with managed care no patients no revenue...unless under capitation plan like pure HMOs. Guess they did get PPI like the rest if small employers.Now, as someone in healthcare , the value chain in healthcare is completely screwed up. The folks doing God’s work - the hospitals (providers) clinicians - MDs and nurses make a 2% margin if that. The commercial insurers (payers) make a fortune in margin. There are hundreds of hospitals across the US, while there are relatively few commercial payers (Aetna, Cigna, UHG). The payers keep lowering the reimbursement rates to providers and denying coverage to the insureds. The providers have little power and aren’t sophisticated enough to negotiate effectively with the payers. I am a believer in lower taxes ; but, the payers should have to pay a windfall profit tax as their margins are obscene. As an aside, payers made a killing during COVID - premiums came in, but had to pay very few claims as there were no elective procedures. Providers had to provide care to those with Covid, but had no elective procedures. The Cares Act was the only thing that allowed providers to survive. The disproportionate profitability of the payers is evil.
But, the killer should rot in hell. He is no hero.
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