How Does Prescription Drug Spending and Use Compare Across Large Employer Plans, Medicare Part D, and Medicaid?
Prescription drug costs are a pressing concern for both consumers and policymakers. Rising drug prices affect patients’ out-of-pocket costs as well as the budgets of private and public payers, though the challenges vary by payer. This analysis compares prescription drug spending and use in large private employer plans, Medicare Part D, and Medicaid, based primarily […]
A generation of healthcare in the United States: Has value improved in the last 25 years?

A generation of healthcare in the United States: Has value improved in the last 25 years?

Jeffrey Selberg is a Senior Advisor with the Peterson Center on Healthcare. Bradley Sawyer, Cynthia Cox, Marco Ramirez, Gary Claxton, and Larry Levitt are with the Kaiser Family Foundation.

Measuring the value of the U.S. healthcare system – and particularly …

What are recent trends and characteristics of workers with high drug spending?

What are recent trends and characteristics of workers with high drug spending?

Prescription drug spending grew rapidly between 2014 and 2015, but increases have been more modest recently. Several studies by the federal government, pharmacy benefit managers, and insurers point to high prices for new “specialty” drugs as driving the spike, in …

An analysis of out-of-network claims in large employer health plans

An analysis of out-of-network claims in large employer health plans

Being unable to afford health care when it is needed is one of the major worries of families, even those with insurance.  Overall cost sharing (i.e., deductibles, copayments, and coinsurance) has been increasing in employer plans, and enrollees who use …