I haven't worked for that company in almost 10 years... and yet thinking about this topic and making that post has me all worked up now :rofl_200:
I'm going to elaborate further on health care as it works pre-Obamacare in America. If you're not interested I apologize and ask you just keep scrolling. If you're interested in why your health care costs have gone up every year in your lifetime read on here's a small part of why.
Part 1 : Specific companies can get suddenly hammered with huge rate increases.
I've tracked the rate of increase in premiums for the last 12 years. The last 2 years have seen that rate of increase jump 20% for this year, and 30% fo next year. In addition, the co-pays are almost double, and now we required to get physicals ever year instead of every 2.
Identical to how your car insurance goes up dramatically after you make a claim medical insurance is the same. You can see a small increase 1 relatively dormant year, and a huge increase after an accident, DUI, etc. The cost of the insurance is based on complicated formulas involving risk of the insurance company needing to pay out + the need to re-coupe costs if they did have to pay out. The same way odds for gambling can be 10:1 payouts etc.
The difference is that the amount of money a car insurance company has to pay out is relatively static. The average cost of a car on the road goes up a little every year but not anymore than anything else. 10 years ago you could get a cheap car for 10k and now you can get one for 12k. It costs more but not dramatically. Thus the car insurance stays roughly the same because the cost of replacing that car is about the same. The cost of paying out for a 10 car pile-up isn't a great deal more than it was years ago. The baseline for 'best case' and 'worst case' from the insurance companies perspective doesn't need to be aggressively evaluated every year.
Compared to group insurance where you have for the sake of simplicity 1000 employees (qualifying for large group insurance). You can't evaluate the collective risk of 1000 people the same way you do a household for auto insurance. There's entirely too much data and room for unexpected costs. The baseline isn't the cost of a car but it's rough demographics of the employees of that company (age/sex/ethnicity and average medical care uses for those demographics) averaged into the expected cost + recouping costs if they used it. So if the demographics suggest low risk, but ultimately that group of 1000 people ended up being higher than expected, the cost of insurance for that company can go up 50%-300% because they used the insurance a lot.
That's not to say a year-over-year analysis is a bad one. Just recognize that it's incomplete and impossible to draw a solid conclusion on 'why'. Going back to the car insurance, and if you see for 2 years in a row car insurance spiked but can't look at the number of claims made on the policy or anything other than the end result of a rate increase... it's impossible to definitively say why. It can be ObamAutocare increased the risk or it could be that there was a DUI and that increased the risk. There are a couple things employers can do when the cost increases. As with auto insurance when rates spike you can take a class (medical parallel: physicals and employer sponsored weight-loss and/or wellness programs) or get cheaper liability only insurance (medical parallel: higher co-pays, deductibles, lower maximum coverage limits). Though since risk is higher even with the crappier insurance the cost may still be higher than what you used to pay for the good stuff. That's the risk calc of insurance of all varieties, and in states where there is no mandatory auto-insurance you can be outright dropped from all policy levels regardless of coverage. It's a virtual guarantee that any coverage would result in a loss for the insurance company due to your risk and nobody will sell you any policy (medical parallel: preexisting conditions).
Part 2 : All medical insurance rates increase every single year regardless of risk.
Now that's why rates can go up in a big way for a specific group of people to insure. Why does it go up every year for groups that haven't made any claim at all?
Well unlike cars medical costs are anything but static. The overall cost of medical care increases well above inflation every single year. Thus the cost of your medical insurance increases well above any 'cost of living' raise you may or may not be getting. Next year you will have to pay more for health insurance, have less coverage, or no insurance. That's a 100% guarantee in our current health care system. Next year you may or may not make more money to make up the difference of that alone, and aside from that everything else gets a little more expensive too. The net result, next year your buying power will be less than it is this year, and the year after that, and the year after that.
Why does it go up? There are 100 different correct answers to this question. Research and development for advanced care is cited all the time, and that's true, but it's not the only and probably not even the biggest reason. R&D exists in every other industry and it doesn't raise the cost anywhere close to health care. Even in other cutting edge and high cost industries.
Since we're talking insurance I'll focus on some of the reasons it goes up based only on the current insurance system.
The patients would give their long expired old card instead of ours alllll the time, and we wouldn't be notified of the claim and be able to work our magic.
People giving improper proof of insurance doesn't get sorted out for days, weeks, and sometimes months. In the meantime the bills for their care don't get paid and the service provider is holding the bag. The docs that did the work still need to get paid regardless, and the org won't have the money to pay them for a lot longer because they're working it out with the patient and incorrect/correct insurance company or companies.
Result : the org has to build in overhead in all their services to cover their own expenses while they wait to get paid. Medical care cost increases.
They would go to ER for head colds because... well I still don't know why people do that.
For the identical service a doctors office bill : $100, and an ER bill $1000. This is the equivalent to comparing your neighborhood friendly mechanic to a dealership for service charges. The work is the same, but the cost is off the charts.
The insurance companies are on the hook to cover this anyway.
Result: Cost of insurance goes up to cover more ER care than necessary. Medical insurance cost increases.
The providers would constantly bill simple visits with the wrong procedure codes which would cause visits to fall outside the scope of insurance.
The care provider doesn't get paid until this is worked out, re-billed, and re-submitted. Sometimes they don't agree with how it should be coded and this can take months.
Result: More overhead built-in to all billing to cover this. Cost of medical care goes up. If the care provider wins and something is successfully billed at higher than it should have been well... cost of medical insurance goes up too.
The insurers would constantly refuse to cover ops that were coded correctly and should have been covered.
The same side with same results except it's the insurance company screwing the care provider instead of the other way around.
Hospitals especially were a train wreck because from a single hospital visit there would be 6 different bills as each doc ran their own billing instead of using the hospitals billing system.
A lot of docs are not full time hospital employees. They're independent contractors that have a business relationship with the hospital for customers. A hospital may not do enough surgery to justify a full time specialist surgeon, anesthesiologist, etc. They're brought in when needed and scheduled and they all run their own billing out of their own offices. They don't just bill their work to the hospital though like it works in most other industries... they bill the customer directly. They all need to build in their overhead for non-payment and delayed payments as well.
The entire industry top to bottom is completely retarded.
That's how it works bros. I'm only giving a small insight to the inefficiencies I have personally seen. All of this drives cost up, and none of it results in better care, meds, or equipment. It's unparalleled in any other industry and if you take a look at any hospital bills you have personally received you can plainly see it with your own eyes. That's if you're aggressive as hell and ask for a broken out bill they absolutely don't want to (and sometimes can't even) give you.
The $200 band aid you and your insurance company are already paying for is covering uninsured, irresponsible, and businesses shafting each other for cost. You personally are already covering those costs and you're doing it in what might be the most inefficient and therefore expensive way imaginable.
I am mystified that there are people in the world that actually believe that a process can be made cheaper by adding multiple levels of government bureaucracy. That paradigm is antithetical to logic and reason.
Are you seeing where there is some room for government regulation and standards yet? I 100% agree with you that adding layers of government to 9/10 things and expecting it to come out cheaper overall is borderline insanity. The exception I openly make for healthcare is because the current system is already insane.