Conditions have been favorable for health plans, which realized an up-tick in investment income in recent months and benefited from lower medical loss ratios—the portion of revenue spent on medical expenses.
Health plans also appear to be reaping benefits from efforts they began several years ago to encourage members to seek more outpatient care rather than expensive in-patient services, according to Analyst Sophie Snyder of market research firm IBIS World.
"For many services, insurers [have been] reimbursing hospitals at a higher rate for ambulatory care than in-patient care," she said. "The amount they've had to pay out is slightly decreasing and likely having a greater impact than in previous years."
Next year the minimum medical loss ratios become effective. So this may be the last year of big profits for these publicly traded companies.
No comments:
Post a Comment