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, 3.2 cents
5. Doctor Visits: 12.1 cents
6. Other Out-Patient Care: 6 cents
7. Taxes and Fees: 4.6 cents
8. Other Fees and Business Expenses: 3.1 cents
9. Cost Containment: 2.4 cents
10. Quality Improvement: 0.8 cent
11. Other Administrative Expenses: 4.4 cents
12. 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
Source URL: https://www.ahip.org/wp-content/uploads/AHIP_HealthCareDolla...

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