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Nonprofit health insurers are making investments in service delivery, product development, and growth through such sources as gains from operations, investment portfolios, and accumulated reserves. In addition, the report found that administrative expense ratios are higher in the for-profit, publicly traded health plan firms. Compared with the investor-owned firms, the nonprofit health insurers are using "a significantly higher percentage of the customers' premium dollar to pay health care claims," according to the report, "Nonprofit Health Insurers: The Financial Story Wall Street Doesn't Tell". http://pubs.bna.com/ip/BNA/hce.nsf/is/a0a7v5m1e1
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