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  • Are prescription drug costs out of control?
  • Why are some drugs so expensive?
  • How are prescription drug costs really determined?
  • Does increasing out-of-pocket spending reduce premiums?
  • Shouldn't the U.S. Government do more to regulate high drug prices?
  • How does the U.S. maintain its leadership in innovation?
  • How much do innovative new drugs impact overall health care costs?
  • What role does private sector R&D play compared to NIH?
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Rising Insurance Premiums

Out-of-control drug prices and drug spending is driving large hikes in insurance premiums.

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  • In fact, according to insurers’ own data, hospital spending and professional services are the largest drivers of insurance premium growth.
  • In 2016, 75% of premium increases were directly attributed to hospitals and doctors—not prescription drugs—which only accounted for 17.5% of the increase, according to a study from Avalere, an independent analytics firm.
  • In 2017, the same pattern is emerging.  Spending on hospitals and doctors is driving 73% of the increase in premiums—not prescription drugs, which account for only about 14 cents of every one dollar increase in insurance premiums – according to Avalere.
  • And spending on drugs helps to reduce those other, faster-growing components of healthcare expenses like hospital stays and other more expensive services and procedures.

Additional Reading & Resources

Avalere; Health Insurance Premium Increases Largely Mirror Spending

Avalere; Outpatient Services Are the Largest Driver of 2017 Premium Increases

 

debates

  • Direct Government Negotiations on Price
  • Importation of Drugs
  • Profits and R&D

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