Because there is a clear legal understanding of how much profit is acceptable.
Ahhh. I guess you're not aware of stuff like this?
https://www.newsweek.com/hospitals-are-reporting-more-insura...
One of the primary jobs of insurance companies is to vet claims. If we didnt want that, you could just make a shared bank account and let doctors and hospitals bill anything they want to it. You might save 10% on overhead, but it would collapse instantly.
If that were true then United Healthcare wouldn't have rolled out an automated system that (reportedly) denies ~90% of people regardless of their actual need.
https://www.theregister.com/2023/11/15/unitedhealthcare_ai_m...