Healthcare Payer News March 31, 2017

New research has found that prescription drug costs and physician services are the largest parts of healthcare premium dollars.

Prescription drug costs consume the largest proportion of dollars spent on healthcare premiums, with 22 cents out of every dollar going to medication costs, says AHIP in a new data brief.

Eighty percent of every dollar is spent on medical expenses, and the remaining 20 percent was split between operating costs and net margins, showing that payers are adhering to the 80/20 rule instituted by the ACA.

“This is the latest evidence that shows prescription drug costs are out of control,” said Marilyn Tavenner, President and CEO of AHIP in an accompanying statement.

“The vast majority of every dollar spent...

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Topics: CMS, Employer, Health System / Hospital, Healthcare System, HHS, Market Research, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Pricing / Spending, Primary care, Provider, Public Exchange, RCM (Revenue Cycle Mgmt), Self-insured
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