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flying_wahini

(8,248 posts)
Fri Dec 6, 2024, 04:47 PM Dec 2024

Insurance companies did quite well this year. Here is their report thru 3rd quarter 2024.

For number crunching folks who can make sense of it all.
Still making BIllions off the backs of the sick.

U.S. Health Insurance Industry Analysis Report
HEALTH INDUSTRY OVERVIEW
Table 1 below provides a 5-year quarterly snapshot of the U.S. Health
insurance industry’s aggregate financial results for health entities who file
with the NAIC on the health quarterly statement blank. The health
insurance industry reported an underwriting gain of over $12 billion, a 31%
decline from approximately $18 billion for the same period a year earlier.
Similarly, net income decreased 14% to approximately $16 billion for the
first six months of 2024 compared to the same period in the prior year. The
industry’s profit margin decreased moderately to 2.7% from 3.3%, while the
combined ratio increased by a moderate 110 basis-points.
Notable items as compared to second quarter 2023 include the following:
 Hospital & medical expenses increased 7% ($35 billion)
 Net earned premium increased 5% ($29 billion)
 Administrative expenses increased 2% ($2 billion)
 Enrollment decreased 3% (9 million)
 Cash flow from operations dropped 86% to $9 billion from $67 billion
 Capital and surplus increased 4% ($9 billion) to over $224 billion from $215 billion at December 31, 2023

Much MUCH more at link….9 pages

https://content.naic.org/sites/default/files/health-2024mid-year-industry-report.pdf

19 replies = new reply since forum marked as read
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Insurance companies did quite well this year. Here is their report thru 3rd quarter 2024. (Original Post) flying_wahini Dec 2024 OP
DuRec leftstreet Dec 2024 #1
My same insurance double from 2024 to 2025. Deductible increased 30%. LizBeth Dec 2024 #2
Wow that's a lot! flying_wahini Dec 2024 #18
Assuming info correct, the profit margin of roughly 3% is low compared to banks, dining, drugs, education, Silent Type Dec 2024 #3
There are ways to game it. Xolodno Dec 2024 #4
3.3% seems to be norm for industry. Jets, etc., get expensed out over years. If they paid their Execs a Billion Silent Type Dec 2024 #7
You missed my point. Xolodno Dec 2024 #8
Fine. Take an insurer like UHC with 25 M covered people. Pay the execs nothing and you'd Silent Type Dec 2024 #9
If you want better care, standards, etc. The money has to come from somewhere. Xolodno Dec 2024 #10
$100 B in improper billing a year for Medicare and Medicaid according to HHS/CMA. Silent Type Dec 2024 #12
Go on.... Xolodno Dec 2024 #13
Like your company never underpaid on a claim or had a contractor cheat you. Besides, I thought you were done. Silent Type Dec 2024 #14
This message was self-deleted by its author Silent Type Dec 2024 #15
BTW, what was your company's profit margin? Probably more than health insurance. Silent Type Dec 2024 #16
Looks like Obamacare has worked out ok for them. jalan48 Dec 2024 #5
My insurance went up 10 dollars RANDYWILDMAN Dec 2024 #6
WHAT THE ABSOLUTE FUCK!!!!!!!!! a kennedy Dec 2024 #11
And United... Ollie Garkie Dec 2024 #17
If you pay them and they deny, defend and depose I'm quite sure it helps their bottom line Always Blue Dec 2024 #19
 

Silent Type

(12,412 posts)
3. Assuming info correct, the profit margin of roughly 3% is low compared to banks, dining, drugs, education,
Fri Dec 6, 2024, 05:05 PM
Dec 2024

real estate, information services, entertainment, computer services, transportation, etc.

Xolodno

(7,316 posts)
4. There are ways to game it.
Fri Dec 6, 2024, 05:35 PM
Dec 2024

You can increase your Expense Ratio by giving bonuses, higher pay, etc. to Exec's. Hell, why not even add on a private jet, luxurious company cars, etc. You still hit the target 3% for the company, but the CEO, CFO, COO, etc. make out like bandits.

 

Silent Type

(12,412 posts)
7. 3.3% seems to be norm for industry. Jets, etc., get expensed out over years. If they paid their Execs a Billion
Fri Dec 6, 2024, 06:47 PM
Dec 2024

dollars it still wouldn’t change profit percentage that much.

Xolodno

(7,316 posts)
8. You missed my point.
Fri Dec 6, 2024, 07:51 PM
Dec 2024

Sure the profit is built in. But what goes in expenses such as obscene salaries, bonuses, shareholder dividends, etc. could go into care of the patient and that WILL have an impact. I should know, I work in the insurance industry and no, I'm not stapling papers together, I've worked in Actuarial, Product on the Pricing side, Distribution and a few other areas.

Now if you want to still argue otherwise, by all means, but it doesn't mean your right. I have enough professional letters behind me to make me confident.

 

Silent Type

(12,412 posts)
9. Fine. Take an insurer like UHC with 25 M covered people. Pay the execs nothing and you'd
Fri Dec 6, 2024, 08:12 PM
Dec 2024

have $2 or $3 maybe $5 more dollars for each person annually. I’d rather have them cutting better deals with hospitals, doctors, monitoring quality, etc.

Until the government gets off its ass and enacts a rational healthcare system, we are stuck with what we have.

I’ve worked/consulted with Medicaid, Medicare, providers, even recommended Georgia go to Medicare/caid for all in 1982. Had to run for my life after the Committee as they called me a socialist.

I worked against insurance companies trying to screw providers too, and handled numerous appeals for denials. If you’ve got the standards of care on your side, it’s relatively easy overturning denials with a little additional info not on a claim form. Now, if it’s a patient/doctor who wants to get facial Botox injections covered under the guise of treating headaches, that’s a bit tougher and not my thing.

With your background, I’m sure you know doctors and other providers do cheat billing, some a lot, some staying under the radar.

Xolodno

(7,316 posts)
10. If you want better care, standards, etc. The money has to come from somewhere.
Fri Dec 6, 2024, 08:26 PM
Dec 2024

You want to defend exec's making more than they should, be my guest. Doctors cheat? Sure, but its not widespread like you're making it out to be. Do insurance companies screw over policy holders? In the Health Ins. they sure do. At P&C carriers, we're so highly regulated if we did what Health Ins. Co's did, people would end up in jail.

We're done here.

 

Silent Type

(12,412 posts)
12. $100 B in improper billing a year for Medicare and Medicaid according to HHS/CMA.
Fri Dec 6, 2024, 08:39 PM
Dec 2024

Oh I thought you worked for a healthcare insurer. P&C is totally different.

Xolodno

(7,316 posts)
13. Go on....
Fri Dec 6, 2024, 08:45 PM
Dec 2024

...Keep defending the filthy rich and ignore everything else. Blame the little guy...

 

Silent Type

(12,412 posts)
14. Like your company never underpaid on a claim or had a contractor cheat you. Besides, I thought you were done.
Fri Dec 6, 2024, 09:43 PM
Dec 2024

Response to Silent Type (Reply #14)

RANDYWILDMAN

(3,130 posts)
6. My insurance went up 10 dollars
Fri Dec 6, 2024, 05:52 PM
Dec 2024

a month, bet the services I am allowed to receive went down at least 10%

The only way they can make money is starve the beast

a kennedy

(35,346 posts)
11. WHAT THE ABSOLUTE FUCK!!!!!!!!!
Fri Dec 6, 2024, 08:30 PM
Dec 2024

what really happened to helping the sick??? Love of helping the ill??? FAWKING money….. 🤬 🤬 🤬

Ollie Garkie

(340 posts)
17. And United...
Fri Dec 6, 2024, 10:29 PM
Dec 2024

Has about the same profit margin as most but with a higher denial rate. Dumbfucks. Even the all important shareholders didn't benefit much from their evil fuckery.

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