Pharmaceuticals account for about 12% of overall healthcare costs. Among the plans surveyed, HMOs have achieved a generic drug dispensing rate of 75%, while PPOs had a generic dispensing rate of 68%. But only 33% of plans reported having an optimal program that monitors depression medication adherence, while 49% of plans said they monitor diabetes and coronary artery disease medication adherence, according to the survey.
The majority of health plans—67%—have pay-for-performance programs, the survey found. Top-performing health plans across categories, including clinical and administrative practices, were Cigna New York, HealthPartners of Minnesota and Kaiser Permanente.
“To truly reform the U.S. healthcare system requires a triple aim approach: improve health, improve healthcare and lower costs,” Andrew Webber, president and CEO of the National Business Coalition on Health, said in a statement.