pb4uski
Give me a museum and I'll fill it. (Picasso) Give me a forum ...
So if I ran a health insurance company, I'd buy some hospitals (different company registration) and have my hospitals charge the health ins company a high rate to ensure the 80% is met, then pay out dividends to the company owner (which is the health ins company).
I'd probably add some pharmacies/drug companies in the mix to make sure all my customers spent the full amount as many each year would not go to hospitals.
A nice vertically integrated system of companies would assure removal of pesky refunds.
Great idea! Problem is that the regulatory and commercial capital requirements for an insurer owning a hospital would high so that is unlikely to happen.
The inverse may work though..... you may have seen in the news last week that CVS is buying Aetna.... but between competiton and regulatory constraints gouging is unlikely to happen but CVS may well be able to capture a bigger slice of the pie.