Coverage that counts

Healthcare affordability, access, and the experience people have when they seek care are deeply connected.

The prices set across the healthcare system, the availability of providers, and the settings where services are delivered influence not only what coverage costs, but also how easily patients can obtain timely, high-quality treatment. Employers and families feel these effects every day in premiums, out-of-pocket expenses, and the complexity of navigating care.

As a not-for-profit health plan, Premera Blue Cross works within this environment alongside providers, employers, and policymakers. Coverage That Counts examines the structural factors shaping affordability and highlights approaches that can strengthen value while protecting reliable access to care. Our mission is clear: We are committed to making healthcare work better.

Hospital prices

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Hospital prices

When hospital prices increase, out-of-pocket costs rise too. Hospital care is the largest and fastest-growing piece of overall healthcare spending, affecting what everyone pays.

Rising drug costs

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Rising drug costs

Prescription drug costs are at an all-time high, driven in part by the rapid growth of expensive specialty medications, and they continue to push up overall healthcare spending.

Employer coverage pressure

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Employer coverage pressure

Rising healthcare costs put growing pressure on employer-sponsored coverage, making it harder for businesses to keep premiums stable while continuing to offer comprehensive benefits to their employees.

Site of care

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Site of care

Where care is delivered also drives costs, as hospital-based settings often charge significantly more than independent clinics or ambulatory surgery centers for the same services.

Administrative complexity

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Administrative complexity

Administrative complexity drives up healthcare costs by creating confusion, duplicate services, and inefficiencies that make care harder to coordinate and more expensive to deliver.

Where does your health insurance premium go?

How Premera spends premium dollars

As a not-for-profit health plan that pays taxes, Premera directs 90% of premiums to member care, including prescriptions, hospital visits, doctor appointments, labs, and more. The other 10% covers administrative costs, taxes, and reinvestments in technology, service, and innovation.

Affordability

Healthcare is expensive, and Premera works to make every dollar count, reinvesting in better care while keeping costs under control.

Access

Too many people face barriers to care. Premera works to connect members and families to the care they need.

Experience

While complex, healthcare shouldn’t feel overwhelming. Premera works to make the care experience easier to navigate.

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Our commitment

Premera Blue Cross is a not-for-profit health plan serving Washington since 1933 and Alaska since 1952. We’re focused on making healthcare better—putting customers at the center of everything we do. For more than 90 years, we’ve worked to provide access to high-quality, cost-effective coverage, and we remain committed to that mission every day.

2.5 million

members

$100 million+

invested in Alaska and Washington

400+

grants awarded to nonprofits in Alaska and Washington

275+

community partners engaged to expand access and improve health outcomes