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Health maintenance organizations didn't keep costs in check, and they spent heavily on administration and screening to enroll only the healthiest, most profitable beneficiaries.
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The largest beneficiaries were some of the most profitable companies: General Electric, SBC Communications, Citigroup, IBM and Microsoft.
That could hurt institutions, the traditional beneficiaries of such tips, and so make following them less profitable.
Areas with higher percentages of vulnerable beneficiaries are not expected to be as manageable or as profitable for managed care plans that were reluctant to expand into all markets after experimental demonstrations by CMS offered substantial subsidies [17].
Just ask the HMOs, who signed on a decade ago to treat Medicaid and Medicare beneficiaries only to see reimbursement rates slashed when the plans turned profitable.
One of the major beneficiaries of the nation's food-stamp program is actually a hugely profitable company: Walmart.
Under these proposals, Mr. Foster said, health care providers "could find it difficult to remain profitable and might end their participation in the program, possibly jeopardizing access to care for beneficiaries".
Waxman said he wants to determine how profitable they are and how much of the savings they negotiate is passed on to Medicare beneficiaries.
The main beneficiaries of the programme, billed as aid to the world's poorest countries, were the highly profitable and politically powerful companies that dominate the global grain trade: ADM, Cargill and Bunge.
As beneficiaries only, the two eldest siblings won't see any money from the trust until it is profitable.
Asia and Latin America are particularly profitable (see chart).Mr Pandit sees a role for Citi in "connecting east and west" but also as a beneficiary of the growth of intra-Asian commerce and the underdeveloped state of the region's financial industry.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com