Once your org has made bank, owns a chunk of the market, margins are stable, and things are coasting and self sustaining push the rent collecting investors out.
See how Disney recently dealt with Nelson Peltz.
Thats the playbook. Don't be a Robot reciting but but I have to please the investor till the heat death of the universe.
Many of the largest commercial payers such as some of the Blue Cross Blue Shield Association licensees are non-profit. They literally have no investors. The non-profit and for-profit insurers have similar claim approval rules.
Due to the minimum medical loss ratio rule, insurers can actually make more profit by paying out more claims. The actual pressure to reduce total medical expenses comes primarily from large self-funded employers, not from investors. If we can break the link between employment and health plan coverage that would help to better align incentives.
https://www.cms.gov/marketplace/private-health-insurance/med...
https://www.sensible-med.com/p/the-entire-healthcare-system-...