Health insurance profits are capped only as a percentage of premiums collected, not a fixed dollar amount cap. The rule is you must pay out 80% of premiums collected, everything else is OH&P.
Turns out, if healthcare costs go up, then premiums go up. If premiums go up, then insurer profits go up.
Healthcare providers and health insurers have an aligned perverse incentive to have healthcare cost as much as possible, since that is what increases their profits.
This isn’t a hard relationship to uncover if you are familiar with the insurer profit cap portion of the ACA and also how money gets made.
OK, I can agree with that - but it doesn't change my point that cost reductions need to start with providers, NOT with insurance companies.