[ConstantSkeptic]

Part of what will constrain premium increases it the medical-loss ratio provision. Basically 85% of premiums must be used for health care costs, only 15% can be used for administration and profit. If the insurance companies charge too much and don’t use it to pay for medical costs, it gets refunded back to the participants.

[DonaldC]

“Part of what will constrain premium increases it the medical-loss ratio provision.”

You’re kidding, right? The insurance company premiums are not what is spinning out of control, yet, those are reactionary. The increases are all across the service providers. Nothing in ocare prevent that. Just look at how hospital stocks rocketed today.

[grania]

If the insurance companies charge too much and don't use it to pay for medical costs, it gets refunded back to the participants.

The insurance companies never lose and they have the smartest actuaries. With forced insurance and the gov subsidizing people who can't afford it, the rates will go insane.

Think about it. Insurance companies now have an incentive to let the consumer get everything he/she wants. It gives them a reason to raise rates.

[txhurl]

If the insurance companies charge too much and don’t use it to pay for medical costs, it gets refunded back to the participants.

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Wow, 6 years of zerocare atrocities and this is the first time I’ve heard this. How did the RATS keep this great news under wraps for so long?

Do policyholders get credits on their monthly invoices following each month the insurer got > 85% greedy?