Few people understand that most profits from health insurers stem from
their return on investing their pool of premium dollars while awaiting
those dollars being paid out in claims months or even years after being
collected. Wharton School insurance expert Scott Harrington calculates that in 2013, insurers in the individual (nongroup) insurance market overall earned negative pre-tax
profits of 3.1% on the premiums they collected. That is, they actually
lost 3.1 cents for every premium dollar collected, but they presumably
made these losses up from their underwriting gains for group coverage as
well as returns on investments.
http://www.forbes.com/sites/theapothecary/2014/06/27/profits-in-health-insurance-under-obamacare/#64ed6e0f4c42
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