AHIP: How Commercial Health Plans Spend Your Premium Dollar

  1. Prescription Drugs: 21.5 cents
  2. In-Patient Hospital Costs: 19 cents
  3. Out-Patient Hospital Costs: 19.8 cents
  4. Emergency Room Costs
  5. 3.2 cents
  6. Doctor Visits: 12.1 cents
  7. Other Out-Patient Care: 6 cents
  8. Taxes and Fees: 4.6 cents
  9. Other Fees and Business Expenses: 3.1 cents
  10. Cost Containment: 2.4 cents
  11. Quality Improvement: 0.8 cent
  12. Other Administrative Expenses: 4.4 cents
  13. Profit: 3 cents
Notes: Data reflects averages for the 2016-2018 benefit years. Percentages do not add up to 100% due to rounding.

Source: AHIP, 2021 - https://www.ahip.org/wp-content/uploads/AHIP_HealthCareDollar-2021.pdf

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