I know I'm late on commenting on this, but I had a discussion with a co-worker over the holidays that prompted me to look into United Healthcare's financial information. My co-worker suggested that these healthcare providers were making outlandish profits and that it was one of the primary causes of the high cost of healthcare in our country. As a CPA, this kind of information intrigues me, so I looked into their audited financial statements (available online).
In 2023, United Healthcare collected $291 billion in premiums, and paid out $241 billion in claims. They also had $54 billion in operating expenditures (payroll mostly), and a variety of ancillary services and misc. expenses. Their profits totaled about $22 billion. Their profit margin was 5.9% (total profits divided by total revenues). This is comparable to a well run grocery story. Meanwhile, Apple's profit margin in 2024 was 46%.
While I understand the frustration of the US Healthcare system, and how expensive it is, it seems like misplaced outrage to hate on the insurance companies. They are administering an extremely high volume of medical claims (trillions) and making a modest return (comparatively) in the process. Are you frustrated that they deny claims? Understandable, but if they didn't, all of our premiums would skyrocket. Also, as with all insurance, some claims SHOULD be denied. I only want my insurer paying for valid claims that the insured party has a right to so that my premiums can stay reasonable. When someone is denied a valid claim, there is a legal process to dispute it (and of course I hope in those situations the insured party is made whole).
In the grand scheme of things, the insurance companies are not the problem. They are operating in an environment that our government has established (healthcare primarily provided by employers), and competing with other companies forcing modest margins. You want Medicare For All? Fine, but it doesn't exist now, so we need insurance companies. Total US healthcare spending in 2023 was $4.9 TRILLION. Total healthcare insurance company profits, ALL COMBINED, represent less than 1% of that spending.