Inside an insurance industry denial machine

nyceve at Daily Kos:

The medical loss ratio refers to the percentage of dollars actually spent on medical care versus administrative costs or profit. The higher the ratio, the more money is being spent on actual delivery of care. Components of the medical loss ratio include payments to physicians, hospitals, pharmacists and other providers of health care.

For example, an unheard of medical loss ratio of 91 percent means that 91 cents out of every dollar goes to practitioners and providers. This never happens, of course. Most medical loss ratios are in the neighborhood of 80–81 percent.

The mission of the U.S. insurance industry is to keep this ratio as low as possible. The way they do this is with ruthless companies like TC3 Total Claims Capture and Control which I'm going to introduce you to today. When the medical loss ratio creeps up, which means too much money is being spent on our healthcare needs, the for-profit insurer turns to TC3 to bring costs (losses) down.