Keep pulling the thread on Medicare Advantage.
The three largest health insurers in the U.S. control 40% of the commercial and Medicare Advantage market.
The three largest Pharmacy Benefit Managers (PBMs) control 80% of the U.S. pharmacy benefit market.
Over 20 U.S. states have enacted legislation to cap monthly out-of-pocket costs for insulin in state-regulated health insurance plans.
In the U.S., 61% of non-Medicare patients receive their health insurance through an employer.
The proposed "Patients Deserved Price Tags Act" is a bipartisan, bicameral bill that would enable employers to see their own employees' health insurance claims data.
UnitedHealth Group has observed a reduction of approximately 200 basis points (2%) in healthcare cost trends for populations managed under its value-based care models.
Approximately 4.5% of Cigna's commercial market customer experiences are subject to prior authorization.
Cigna reduced the number of medical services requiring prior authorization by 15% in the past year.
Approximately 78% of all prior authorizations at Cigna are now resolved immediately or near-immediately through automation.
Cigna is committed to increasing its automated prior authorization resolution rate from 78% to 90% in the foreseeable future.