Do you have a dumb question that you're kind of embarrassed to ask in the main thread? Is there something you're just not sure about?
This is your opportunity to ask questions. No question too simple or too silly.
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Notes -
For a given year? Yes. Then, the next year, they will destroy and recreate the plans with higher premiums.
This is true, and I'd be interested to see how claim denial rates line up with a given FY cycle. They could be just vastly incompetent, making all of their customers hate them for no reason by being unable to predict claim demand, even with the vast swaths of data they have.
More likely though, it has to do with being lower price in any competitive market. After all - consumers generally don't see the premiums, but do see the denials. They may be making another $3k a year because their employer saved money on health insurance, but that's rarely transparent to an employee.
I am very curious about this as well.
Though comparing claims denial rates between insurance companies isn't useful without more context? It's true Kaiser has a denial rate of 7%, but aren't they famously (though not exclusively) an HMO? 7% seems low, if you ignore the fact that (pulling this out of my ass) 99% of medical providers are not allowed.
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