Originally posted by Goldeneagle
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They control that.
Your employer decided not to eat that insurance bill and pass it on to you.
Your employer could give you 100% paid for health insurance if they wanted to.
But they don't want to so they make you pay for a portion to keep their profits high.
Again, part of my job is to design health care cost ratios for payers.
There are hundreds of moving parts in the cost of care.
Drug companies need to look at the patient out of pocket expenses because you can charge a million dollars per pill but no one will buy it
Charge a dollar per pill and you won't be able to pay your staff.
Find a middle ground.
If the insurance company will foot the entire bill for the drug the charge as much as possible.
If the patient has a thousand dollar copay what percentage of the public can eat that cost?
Not many so you begin to slide down the scale and play with the ratios until you find an optimal amount that the insurance will pay and a good percentage of the patient base CAN pay then that is the amount you charge.
Many prescriptions go unfilled because the copay are too expensive.
So many drug companies have drug assistance programs where they will pay the patients copay (or give them hefty discount coupons) just so the script will be filled (they just charge more to the insurance company so they have profits embedded)
Obamacare has nothing to do with this.
This is purely biz 101.
Shall I say Obamacare has VERY LITTLE to do with this.
I've been doing these analyses for over twenty years.
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