. @BillAckman@elonmusk@doge if you want more, on the healthcare side too, I got trillions worth.
The arbs in this industry are insane. For instance, here is an example of how insurance companies with Pharmacy Plans for traditional Medicare game their plans to push people to Medicare Advantage
In their traditional Medicare Pharmacy Drug Plans, they use co-insurance. Which means the patient pays a percentage, usually around 20% of the retail price that they effectively set themselves. So a $600 drug like Elliquis costs them $120 each month
They don't use co-insurance for their Medicare Advantage plans where they profit about $1747 per year per patient.
So one has $120 monthly costs. The other has maybe a $25 co-pay.
So they are pricing to push people to their most profitable plans and extract more money in Medicare PDP plans
The bad part, beyond the money out of pocket that should be far less, is that CMS approves all of these plans and did nothing to help reduce the out of pocket for those with PDPs. They are stuffing money onto the pockets of the plan owners
Want to know one of the biggest problems in healthcare? Deductibles.
Deductibles are defined by the plans the insurance companies design. Then they are approved to be offered by the feds or employers. Then we the people decide what deductible we want when we choose our plans.
Often we choose higher deductibles because we are healthy or because we can only afford the lowest premium plan.
When we got get care and can't pay our deductible for whatever reason, you know who takes all the credit risk and losses?
Doctors, hospitals and caregivers
They have ZERO to do with designing, selling or choosing the plans.
But when you can't pay, they are the ones that become the bill collectors we hate. The ones that put millions into default and bankruptcy,
DESPITE HAVING NO SAY in the plans and deductibles we all choose.
That is one fucked up system that needs to be redesigned.
Next time I'll tell you how insurance companies decide not to pay what they contractually owe to the hospitals and use delay tactics like denials, they know they will approve , just to earn interest on premiums.
And the hospitals aren't innocent. But I'll let them off the hook for now because they have to take anyone that walks in the doors
@BillAckman@elonmusk@DOGE@RobertKennedyJr@DrOz