Making Health Care Work

LOWERING HEALTH CARE COSTS—A pro-consumer health insurance exchange would allow hundreds of thousands of families and businesses to join together and negotiate for cheaper health care plans.

LOWER COSTS, BETTER CARE

Now the fight for health care reform is in Sacramento, and so are the health care industry’s lobbyists.

At stake is how we set up a new insurance marketplace in California — the single biggest tool we have to clean up health care. The new state insurance exchange will allow small businesses, those of us who buy health care on our own, and the uninsured to shop for cheaper health care plans and find some relief from increasingly brutal premiums.  

Done right, the exchange will save billions and level the balance of power between consumers and the health care industry — driving the industry to cut waste and prioritize high-quality care.

The health care industry has spent millions to influence decisions on health care, so they know how high the stakes are.

In order to help us fight back against the kind of price jumps and trap-door coverage we’ve all been suffering from, CALPIRG is pushing to see that the exchange:

  1. Negotiates for better plans. By demanding better care for less cost, the exchange can use the collective power of hundreds of thousands of Californians to finally demand that the industry does better. 
  2. Have high standards, so that bad plans aren’t an option. 
  3. Be open to as many Californians as possible. Limits that shut some individuals and businesses out of the exchange would reduce its ability to lower costs — and will be a key tactic that industry lobbyists use to weaken it. 
  4. Be accountable to the public.

Issue updates

Report | CALPIRG Education Fund | Consumer Protection, Health Care

CALPIRG joint letter on Consumer protection for “California Covered”

CALPIRG joins a coalition of consumer advocates in preventing risks to consumers using the new health benefits exchange known as “California Covered.”

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Report | CALPIRG Education Fund | Consumer Protection, Health Care

Comments on the Aetna Life Insurance Company Proposal to Increase Rates

Nearly 70,000 Californians in small group insurance plans will see rate hikes averaging 8%, with some as high as 22%, if the premium rate hike proposed by Aetna Life Insurance Company go forward. After careful analysis of Aetna’s filing, CALPIRG is concerned that Aetna has not provided sufficient information to justify this rate increase.

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News Release | CALPIRG Education Fund | Consumer Protection, Health Care

Hospitals in the Bay Area are Most Expensive in the State for Surgeries

A new report by CALPIRG Education Fund found large discrepancies between what California hospitals charge for common surgeries, which appear unrelated to quality of care.

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Report | CALPIRG Education Fund | Consumer Protection, Health Care

Your Price May Vary

New report finds that the price charged for common surgeries varies dramatically from one region to another within California.

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News Release | CALPIRG | Health Care

Statement by Pedro Morillas CALPIRG Legislative Director on U.S. Supreme Court Decision to Uphold Health Reform Law

Today’s decision is good news for consumers in California. Insurance companies can’t go back to the days of dropping your coverage once you become ill, or denying coverage to sick children. And beginning in 2014, the days of insurers being able to deny anyone coverage for “pre-existing conditions” will be history.

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Media Hit | Health Care

In California, Aetna raises health insurance rates for small businesses

If politicos in Sacramento and Washington are serious about creating quality jobs in America, they should embrace efforts to rein in unsustainable health costs for small-business owners and their employees," said Austin Price of CALPIRG. 

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News Release | CALPIRG | Health Care

Aetna Rate Increases for Small Businesses “Unjustified”

Sacramento, CA – The California Department of Insurance issued a statement today finding new rate increases of up to 21.4% annually for some small business health plans sold by Aetna unreasonable.  Aetna attempted to justify the increases with projections for medical costs in excess of their actual experience and also in excess of federal measurements of medical inflation.

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Media Hit | Health Care

The Sacramento Bee: The Conversation: Stuck in no man's land for health coverage

One man's story of the obstacles he encountered trying to purchase health insurance on the individual market illustrates why the changes coming n 2014 are so important.

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News Release | CALPIRG | Health Care

Health Care Reform Benefiting Californians

To mark the second anniversary of the Affordable Care Act we collected stories from our members who are benefiting from health care reform.

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News Release | CALPIRG | Health Care

CALPIRG Supported Law Saved Consumers $127 Million in Health Care Premiums

In 2010, CALPIRG helped pass a law requiring insurance companies to disclose the justification for their health insurance rate hikes. The disclosure uncovered errors and unjustified claims by insurers that saved Californians $127 million on their health insurance rates in 2011. 

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Report | CALPIRG Education Fund | Health Care

Making the Grade

Health care exchanges, authorized by 2010’s health reform law, offer the states the chance to address the twin problems of cost and quality, and help consumers get a fair shake when buying insurance. 

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Report | CALPIRG Education Fund | Health Care

Building a Better Health Care Marketplace

The creation of a new health insurance exchange offers our state the chance to build a better marketplace for health care.  The exchange can help individuals and small businesses by increasing competition and improving choices in the state’s insurance market.  By providing better options and better information, and negotiating on behalf of its enrollees, the exchange can level the playing field for consumers.

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Report | CALPIRG Education Fund | Health Care

Building a Better Health Care Marketplace Brief #7

The exchange is a store where consumers can buy health insurance products – and anyone who’s worked retail knows that however much work has gone into crafting strong policies and building an efficient back-office, if customers  can’t understand, compare and choose the products that are right for them, it just won’t work.  

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Report | CALPIRG Education Fund | Health Care

Building a Better Health Care Marketplace: Policy Briefing #6

Medicaid will see its eligibility significantly increased in 2014, the same year the state exchange will open its doors. 

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Report | CALPIRG Education Fund | Health Care

The Cost of Repeal

On March 23, 2010, after a long congressional debate, President Barack Obama signed into law comprehensive federal health care reform legislation, known as the Affordable Care Act or ACA. But the enactment of the law did not end the debate. Even the law’s strongest proponents acknowledge the need for improvements. And across the country, state legislators and Governors have been urged to slow or stop work on implementation of key provisions. The courts are considering legal challenges to the law.

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We’ve got a chance to clean up the health care industry in California, but with lobbyists lining the halls of the state capitol, we need your support.