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Capping insurer profits can create perverse incentives because when margins are limited firms must grow the premium base or allowable spending to increase absolute profits, which encourages higher total spending rather than efficiency.
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See all →Regulatory barriers, not engineering limits, are the key bottleneck to building more nuclear because safe reactor designs exist but slow, politicized licensing and extreme guarantee demands make new construction costly and time consuming.
Payers are the primary lever in U.S. healthcare because controlling what gets paid for and at what rate steers providers and patient behavior toward those services.
