I guess the data about admin costs per premium dollar is
publically shared info:
Quote:
Regence has consistently called for lower costs and greater efficiency throughout the health care system. It's only fair that others ask what we're doing to help. Everyone would agree insurers should keep costs down—both operational and medical. These are not separate pots of money: Operational funds are invested to temper rising medical costs.
We aggressively reduced administrative expenses to 8.3 cents of the premium dollar, compared to the 13-cent industry average, while 90.6 cents paid medical claims.
To influence medical costs, we help members with chronic conditions follow complicated treatment plans. Certified coaches help members reduce health risks. Nurses work with pregnant members to lower the incidence of early or low-birthweight babies.
Pharmacists research and compare prescription medications, and educate doctors and patients about safety and quality. Investigators recover or prevent millions in fraudulent claims. Legal staff document our compliance with dozens of state and federal agencies' regulations.
Employers receive data to identify risk trends among workers and help to improve their health. Providers get tools to ease their administrative burden. Pilot programs with providers identify best practices and foster innovation.
Operational dollars deliver value. When members call, they get a real person, trained in and committed to first-call resolution. We process 1.5 million claims a month and have one of the highest service ratings in the industry. We successfully manage members' resources, faring far better right now than the Dow.
We've been advocating health care reform for years among state and congressional leaders, and within our industry.
This is what our members get for 8.3 cents of each premium dollar.
The nature of health care is that we all spend each other's money. That makes us all accountable to get the best value for this shared resource—insurers, suppliers, patients and providers alike.
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Then again, I suppose some will say that this (and the accompanying information on the Regence web site) is just more lies spread by the insurance industry.