80/20 Rule, which can make insurers want to pay more, not less, for health care services.

Most people believe that their insurance company wants to save money and help them shop for lower prices. Unfortunately, there's something called the 80/20 rule, which is now the codification in federal law of something called medical loss ratio. And what those rules basically say is the insurance carrier can only charge a fixed percentage more than what they pay out for you in medical loss, or your company in medical loss. And so, if you think about that, premium is revenue. If premium's tied to medical loss, and they do something to help you lower medical loss, the premiums drop, and therefore the revenue drops. It's completely counter to what, you know, a CEO is supposed to do. when it comes to running a profit and loss business. They're supposed to increase revenue the best they can, increase profits, and allow shareholders to reap benefits of that. So, that medical loss ratio, or 80/20 rule as it is under the Affordable Care Act now, is really negative towards everybody in the equation. I mean, it's not good for any patients or any consumers. It's not good for providers. And quite honestly, it's not even good for insurance carriers. It's very negative. So, it's one of those things that if we could figure out a way to get rid of it, get people to agree to get rid of it, it would help everybody and hurt nobody.