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re: Question about interstate competition amongst insurance companies...
Posted on 12/5/16 at 1:34 pm to Rakim
Posted on 12/5/16 at 1:34 pm to Rakim
Hope this can be an serios discussion.
My thoughts on it would be competition is good but what it could create is one small carrier after another simply vying for covered lives via a lowest quoted premium model. The idea may seem good to a consumer but the fine print of the policy would dictate - in all likelihood - huge donut holes, gaps in care or network coverage or even long claim reimbursement payouts to the networks.
If either, the patients could face unknown OOP not realized until care has been given and driving debt or default. Same idea with hospitals in terms of them not getting quick payout which could drive some service price hikes. In either case, the only winner would be the Insurance carrier(s) who are benefitting from a big infusion of out of state deposits without advancing their precious small population business model.
Posted on 12/5/16 at 1:43 pm to Sao
quote:
My thoughts on it would be competition is good but what it could create is one small carrier after another simply vying for covered lives via a lowest quoted premium model. The idea may seem good to a consumer but the fine print of the policy would dictate - in all likelihood - huge donut holes, gaps in care or network coverage or even long claim reimbursement payouts to the networks.
Exactly, insurance companies are still insurance companies and those donut holes are there to further reduce risk of paying out. Question will always be "how do you eliminate these hole and keep premiums/ deducbibles from skyrocketing? More competition is the fallback response but every carrier will have them, it's just not a perfect system. But that's okay imo
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