Manhattan life is getting out.

[axeman462]

What is causing the high loss ratios? Is this still the corona effect?

 

[somarco]

Is this still the corona effect?

 

[somarco]

By far, the largest amount spent ($11,089 per person) was for the elderly (age 65 or over), with Medicare covering almost one-half of these costs.

Age Estimates in the National Health Accounts - PMC

This article presents historical trends of health spending by age. Personal health care is broken out into seven age groups for 1987, 1996, and 1999. Analysis of trends in health care spending is provided separately for children (age 0-18), ...

pmc.ncbi.nlm.nih.gov

 

[somarco]

There are multiple factors contributing to the loss ratios

Demographics, inflation, plan design, actuarial assumptions, utilization, outside forces (such as a "pandemic"), greed, stupidity , , .

 

[Millwood]

What is causing the high loss ratios? Is this still the corona effect?

Just a waggle.......deferred maintenance. I'm seeing an unreal amount of turning 65 who are waiting until they are on Medicare to have/get Medical care. Unintended consequences and the ACA had many. Cost is the biggest. Whether it be premiums, because of no subsidies or deductibles and MOOP.
Wish we had some data, but it wouldn't surprise me if just turned 65 had usage rates as high as 90 year olds.

 

[somarco]

wouldn't surprise me if just turned 65 had usage rates as high as 90 year olds.

Anecdotal only, but I see a small percentage waiting until 65 to replace joints, correct cataracts, etc but these are usually one offs. The chronic things kick in closer to 70 or so.

The link in post 13 doesn't isolate T65 but does show claims for 65 -74 vs later brackets.

 

[Packerland]

Those loss ratios seem off.

See the 4/3 newsletter - loss ratios are in the 80%s (except Aetna in low 90s)

https://www.medicaremarketinsights.com/subscribe?ref=8hAPUcOmCr&_bhlid=7fecfad9eb7fd8bcdb529e945e11346b5897acdc

Loss ratios came from CSA Actuarial

 

[goillini52]

Loss ratios came from CSG Actuarial

Fixed that for you.

 

[sshafran]

Loss ratios came from CSA Actuarial

Ok - not sure whether I'm looking at it wrong or the other agent is but here is Omaha from CSG


and here is Medico:

Interesting if you toggle on Medico and look at 2023 it was 85.69% and now it's 92.42. That's a big jump!

 

[somarco]

not sure whether I'm looking at it wrong or the other agent is but here is Omaha from CSG

ALL the numbers are overstated vs CSG.

I am not suggesting that CSG is correct and the "other" data is wrong, but there is a SIGNIFICANT variation in the two tables.

Number of lives shown for Omaha doesn't match CSG.

Also, I find it interesting that CSG offer LR information for Medigap but not for MA plans. Wonder why . . .