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it sounds simple but that basically is all we need. the whole private system is backstopped by public dollars and regulations in hundreds of ways, it's obscenely inefficient and it doesn't even cover everyone bsky.app/profile/equi...

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it also seems like the private health plan is also getting squeezed by systemic trends. the question is whether the government steps in to act as a payer or whether the private model becomes buying some kind of plan directly from a large provider group. www.healthscape.com/insights/wid...

healthscape.comWidespread losses, diverging futures: Why some health plans will emerge stronger while others face retrenchment | HealthScape AdvisorsNearly 3 in 4 health plans reported losses in 2025. Analysis shows how competitiveness depends on preserving capital, investment, and managing medical cost trend.

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every year, product standardization and provider consolidation means there's less and less that private health plans can do to compete with each other - the largest cost drivers are increasingly beyond the ability of health plans to affect