Stephen Zaharuk of Moody's Investors Service states that the industry will face pressure for the year as membership declines. Zaharuk adds that profits will depend on the quick response of insurers to trends.Wo...
Third, the government can permit or even require insurers to spend a share of the excess profits on these urgent public health needs. Insurance companies are in the unique institutional and financial situation to fill essential gaps in the pandemic response. Doing so would further the stated missi...
Actuarial value is a measure of how much of average benefit costs a health plan is expected to cover more than for 1 year at a population level. It is a tool that can be useful in comparing cost-sharing in the health insurance exchanges but is not a guarantee of health care costs for...
“The ACA has the potential to cover a large share of people who lose job-based health insurance,” writes Larry Levitt, an official with the Kaiser Family Foundation, in the May 28 JAMA Health Forum. “But this crisis may also expose weaknesses in the law’s design, how it has been ...
Insurance companies will be integral to Insurance Exchanges if the Patient Protection and Affordable Care Act (PPACA) remains viable. They also are likely to be part of alternative approaches to health care reform. These organizations often are criticized for earning high profits while many of the ...
An estimated 15.3 million people have enrolled in a plan through the Health Insurance Marketplace since November 1, 2023, according to the Centers for Disease Control and Prevention. This is a 33 percent increase in enrollments compared to this time last year. By the time Open Enrollment ends ...
Last year, Michigan Blue Cross Blue Shield raised rates by 22 percent after asking to raise them by up to 56 percent. And in Maine, Anthem is asking to raise rates for some folks by about 23 percent. The bottom line is that the status quo(现状) is good for the insurance industry and...
Medicare Advantage, a privately run health insurance plan contracted by the federal Medicare program, has long been a driver of growth and profits for the insurance industry. But Wall Street has become more concerned about the runaway costs associated with those plans, which cover more than half...
I’ve decided to revisit this issue because Brian Thompson, the CEO of a health insurance company, was recently murdered. And the alleged assailant was a privileged young man who apparently thinks such businesses are greedy. I’m sure the shareholders of such companies want to see profits, but...
almost all of the insured—the return is hugely negative because most of the insured never collect benefits, and the insurance company has to cover all costs and earn profits on its business. Its operating costs and profits are more or less equal to the net losses suffered by its policy ...