r/MurderedByWords • u/BeginningRub6573 • Dec 27 '24

#2 Murder of Week Fuck you and your CEO

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u/DarwinGoneWild Dec 27 '24

Brian didn’t kill anyone. Every insurance company in the US is beholden to the ACA which states that 85% of customer premiums must be spent on medical care. There is no way to increase profits by denying claims under this system. The company has to spend that same 85% no matter what.

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u/IIlIIIlllIIIIIllIlll Dec 27 '24

Is it 85%, or a minimum of 85%? Because if it's a minimum, then that creates a target for them to hit, accept claims until you get to 85%, then deny claims to stay as close to that number as possible. Under a system like that, denying claims would almost be necessary for the company to generate profit, would it not?

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u/CaptainCarrot7 Dec 27 '24

then deny claims to stay as close to that number as possible

Source that its happening?

denying claims would almost be necessary for the company to generate profit, would it not?

Is denying claims always wrong? If so you are asking all insurance companies to go bankrupt.

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u/IIlIIIlllIIIIIllIlll Dec 27 '24

I was proposing a logical thought experiment. There's no source because I was asking a question, lol.