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But the insurance companies still don't get to pocket that money if the costs are increased, how does it incentivize them?



It's normally not a fixed amount. It's generally a percentage above costs. If all costs increase, they increase their revenue. They get the same percentage of a bigger pie.


Basically, if an industry is limited to “cost plus” profits (eg 5% of payouts) their incentive is to drive payouts as high as possible.




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