CAHP Fact Sheet: Medical Management Protects Patients and Reduces Costs

Medical management practices such as prior authorization and step therapy are important tools used by health plans to ensure patients receive the highest quality medical care. With a comprehensive view of the health care system and each patient’s medical claims history, health plans ensure that medications or treatments prescribed are safe, effective, and affordable to meet each patient’s health care needs.

ICYMI - AHIP Study Shows Hospitals, Physician Offices Hike Prescription Drug Prices

A new study published this week by America’s Health Insurance Plans finds that hospitals and physician offices are hiking prescription drug costs for patients by thousands of dollars for the same drugs that can be purchased at a specialty pharmacy.

CAHP Statement: CAHP Welcomes New Covered California Executive Director, Thanks Outgoing Leader Peter Lee

California Association of Health Plans President and CEO Charles Bacchi today issued a statement congratulating outgoing Executive Director Peter Lee on his decade of service at Covered California and welcoming new Covered California Executive Director Jessica Altman.

CAHP Fact Sheet: California's Health Care Dollar

The vast majority of health plan spending in California goes to pay for medical services like hospital and doctor visits, prescription drugs, lab tests, x-ray, and medical supplies. In 2020, health plans spent nearly $189 billion, or 87 cents out of every health plan dollar, on medical care.

CAHP Issues Statement on Governor’s 2022-2023 State Budget Proposal

CAHP today issued the following statement in response to Gov. Gavin Newsom’s release of the 2022-23 state budget proposal.

CAHP Press Release - ICYMI - Los Angeles Times: Leaked SoCal hospital records reveal huge, automated markups for healthcare

In a recent Los Angeles Times column, David Lazarus points out a disturbing practice among hospitals in California and across the country to markup drug and treatment costs on patient bills that reach upwards of 575% to 675%. These markups are so common, they are “automatically generated by the hospital’s software…Call it institutionalized price gouging,” Lazarus says.

CAHP Research Review: Studies Find Uninsured Gap has Narrowed in California; 94% of Californians Now Have Coverage

Two recent studies have delivered good news for the Golden State: California is closer than ever to reaching universal health care coverage, despite the COVID-19 pandemic.

CAHP Fact Sheet: NO on SB 524: Puts Patients at Risk and Increases Health Care Costs

SB 524 will raise health care costs for Californians by eliminating the vital tools health plans, employers, unions, and the state use to lower the cost of health insurance and prescription drugs.

CAHP Statement: Covered California Announces Low 2022 Rate Change and New Expanded Financial Help Under the American Rescue Plan

Covered California today announced preliminary health insurance rates for 2022, citing an average statewide rate change of 1.8 percent. New expanded subsidies for Covered Californian enrollees under the American Rescue Plan have lowered premiums by an average of 50 percent for hundreds of thousands of Californians--with some paying as low as one dollar in premiums per month. California Association of Health Plans President and CEO Charles Bacchi issued a statement on today’s announcement.

CAHP Fact Sheet: California’s Health Plans Are Making Health Care More Affordable, Accessible and Flexible Under the American Rescue Plan

Since the recent passage of the American Rescue Plan by the Biden Administration — which has made health care more affordable for thousands of Californians - California’s health plans have been hard at work finding ways to maximize the new law’s benefits on behalf of their members. These efforts are making health care more affordable, accessible, and flexible for thousands of Californians.

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