Prognosis

How US Health Insurers Got 2025 Numbers So Wrong

  

Photographer: Igor Golovniov/SOPA Images/Sipa/AP Photo
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Hi, it’s John in New York. In the last few months, I’ve watched a set of insurers that reliably grew profits for years collapse with spectacular speed. We try to unpack what’s going on with US health insurance below. But first ...

Every year, number crunchers at US health insurance companies look at their enrolled populations and calculate how many of them will break their arms, require a heart stent or be diagnosed with cancer. They use these figures to determine how much to charge in premiums to be able to cover patients’ medical issues and still make a profit.