Reply #68: It "caps" what they can spend which is not on medical loss [View All]

[Oregone]

So that includes profits and operational overhead.

Of course they can control operational overhead (and this will make them become more efficient). But these companies also control medical loss by negotiating rates and adjusting the throttle on how and what types of care they ration. They control the entire big picture, and its not difficult for them to increase medical loss so they are allowed more money they for profit and operations.