Brand drugmakers retain more than half of each dollar of premium and out-of-pocket spending on prescription drugs — more than health plans, PBMs, pharmacies, providers, and wholesalers combined. See where your prescription drug dollar goes. ahip.org/resources/where-doe…

A new AHIP analysis shows the majority of Americans’ premium dollars go toward paying the high and sharply rising prices charged by hospital systems and drugmakers, which together account for nearly two-thirds of Americans’ healthcare dollar. ahip.org/news/articles/nearl…

Sharply rising prices for hospital care, doctor visits and prescription drugs are driving up Americans’ premiums and out-of-pocket expenses. See what experts are saying about the root causes of unaffordable healthcare costs:

As health plans continue to make progress on voluntary commitments to standardize and simplify prior authorization, new data from @KFF shows that the vast majority of prior authorization requests are approved and receive a response in less than one day.

Abuse of the No Surprises Act by certain private equity-backed providers and IDR middlemen is raising healthcare costs for everyone and driving billions in wasteful spending as Americans foot the bill. Action is needed to protect consumers and employers and stop this gold rush.

Health plans have committed to reduce and simplify prior authorization, but what does that mean for individuals? An interconnected digital experience, less friction and more peace of mind.

Health plans have set an industry goal of 80% of prior authorization approvals happening at the point of care, before the patient has left the office. It’s time to modernize this process and move away from the fax machine.

Health plans are committed to providing peace-of-mind to people changing plans. Plans have come together to say that if an individual has an existing approved prior authorization, it will stay with them.

More than nine in ten medical claims do not require prior authorization. In the narrow set of cases where prior authorization is used, it is an important safeguard against healthcare waste.

One out of four healthcare dollars doesn’t add value, and prior authorization is one tool to help address that. Prior auth is a safeguard to help reduce patients’ exposure to low-value, unsafe or inappropriate care, ultimately leading to better health outcomes for patients.

After health plans made a set of voluntary commitments to streamline, simplify and reduce prior authorization, we can report an 11% reduction across a range of medical services, representing 6.5 million fewer prior authorizations.