What’s their profit margin?
A bit part of the problem w/commie care is the guaranteed issue. This puts the most expensive patients in the plans, hence, you would expect to see a dramatic increase in payouts.
So yes, they take in a lot more, they also pay out more.
https://www.macrotrends.net/stocks/charts/UNH/unitedhealth-group/net-profit-margin
https://pages.stern.nyu.edu/~adamodar/New_Home_Page/datafile/margin.html