MEET THE
Driving up the cost of health care
MIDDLEMEN
The emergence of health care "middlemen" increases health care costs while denying care to those who need it most.
WHO ARE THE MIDDLEMEN?
Tell us about yourself:
NAME:
Middlemen, The
PROFESSION:
For-profit, investor-owned health insurance corporation
SKILLS:
Minimizing health care coverage, maximizing profits
PERSONAL STATEMENT:
I use excessive, inaccurate prior authorizations, denials and other paperwork to clog up the health care industry, sending more money my direction.
NEARLY 45%
of America's health care bill reflects the combined revenue of the nine biggest middlemen intermediaries—insurers, chemists, drug distributors and PBMs, in 2022. This is up for 25% just 10 years earlier.
✔ ESCALATING HEALTH CARE OVERHEAD
ALMOST 2 BUSINESS DAYS
per week are spent by physicians and key health care staff completing prior authorizations. This is two business days not caring for patients - every single week.
✔ INCREASED ADMINISTRATIVE BURDEN
62%
of patients reported having medical care delayed in the last two years due to their insurer.
✔ PATIENT CARE DELAYS AND DENIALS
IN WISCONSIN
Wisconsin hospitals have reported that it can take insurers up to 15 days to authorize necessary health care services.
One Wisconsin health system spent $18.2 million in 2019 managing prior authorizations alone. That same health system employs 65 FTE dedicated to prior authorizations.
SHARE YOUR STORY
Your voice matters.
Help us take action against the health care Middlemen - those who drive up costs while denying care.
Has health care bureaucracy, prior authorizations or inefficient insurance company processes impacted your care in Wisconsin?
Tell us your story using this form.