Some of that is “clever” accounting, the rest is that healthcare insurances don’t have bargaining power with the providers. In Germany the state insurance companies have collective bargaining power so that for example an ambulance ride costs 500€ instead of 15000.
Some of that is “clever” accounting, the rest is that healthcare insurances don’t have bargaining power with the providers. In Germany the state insurance companies have collective bargaining power so that for example an ambulance ride costs 500€ instead of 15000.