HMO Commercial Pharmacy Expense PMPM (1998-2000E)

n=101

Respondents were asked to indicate their pharmacy expenses per-member, per-month (PMPM) for commercial enrollees only. As shown in the figure below, these is clear evidence that HMOs anticipate significantly higher pharmacy expenditures in the near future.

For the 101 HMOs that gave data for all three requested periods, only eight HMOs had commercial pharmacy expenses PMPM of $23.01 or more in 1998, while 46 HMOs projected this amount for 2000, representing an increase of over 80%.

Source: The InterStudy Publication's Press Release: HMOs Lose Over 500,000 Enrollees Since January 1, 1999, Findings from HMO Industry Report 10.1, Part II of the InterStudy Competitive Edge series.

For more information about the InterStudy Competitive Edge Series, please visit MCOL's Managed Care Store at: http://www.mcareol.com/mcolfree/mcolfre1/yinterst.htm#The Competitive Edge

 

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