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UnitedHealth reduced hospitalizations for nursing home seniors. Now it faces wrongful death claims
(www.theguardian.com)
this post was submitted on 13 Jan 2026
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Are you talking about the 80/20 rule? https://www.healthcare.gov/health-care-law-protections/rate-review/
What else would I be talking about?
They do the same math fraud that movie producers do as well as 20% is a lot of profit.
Hold up, you told me the law doesn't even exist...
We told you there's no law that dictates a rebate for all unspent money. Even if they follow the 80/20 law to the letter, they're still going to try to maximize profit, and would strive to spend not a single cent over that 80%.
Yes I know you all told me that, which is why I said I was baffled at how many of you tried to answer the question without knowing the basic subject matter.
Show us that law, then. Show us where they have to rebate us all of our premiums and take in zero profits.
This is actually wild...
Just scroll up this exact thread a bit and open the link that femtek posted.
How did you even get to this point of the thread without seeing it...?
You even told me I was hallucinating it before but stopped replying there.
There is only a rebate if the government can prove they spent less than 80% or payments and more than 20% on management. They will still deny coverage so they make more money.
The claim is that they use the DDD tactic to legally game the system and make more money. You're making a claim about fraud. These are vastly different topics.
DDD is also fraud.
Not in the legal sense.
It's not legal, it's just set up so it's nearly impossible to prove.
Source?
You want sources for malpractice, practicing medicine without a license, and breach of contract?
No, for denying, defending, or delaying claims being inherently fraudulent acts, under the law.
I'm just curious if you even have any though. It's okay if you don't, we can just grant you that for the sake of the discussion and move on to the actual question:
How does that type of fraud change the math for* revenue with respect to premiums premiums vs healthcare spend?
It doesn't, it's just fraud. Go ahead and look up the relevant laws for the illegal actions I listed.
They use those tactics to avoid shelling out money that they're supposed to.
I can only assume that you're just being obtuse at this point.
But how?
Therefore, no matter how much you drop
b,dis still always going to be 20% ofa.Where does the extra amount in
dcome from?You've got so many splintered threads going, you can't keep track of then all.
I never told you that you were hallucinating. You said that yourself.
I saw the link. It doesn't outline a law that does what you're stating. Try again.
Oh, I assumed that's what you were getting at when you were telling me that Obamacare isn't real.
Is this not what I was stating?
Nope. Maybe you hallucinated that.
Did you even read what you copied? That's not all of the money. They're still clearly able to profit.
When did I say they pay out "all of the money"?
Right in the beginning?
Here?
Stop being obtuse.
Just gonna accuse me of lying and then go silent, huh?
How can I link you to something I don't believe I said?