Making Health Care Work

HOLDING HEALTH INSURERS ACCOUNTABLE—CALPIRG is working to make sure health insurers are providing affordable, high-quality care, and not trying to increase profits at our expense.

LOWER COSTS, BETTER CARE

After years of fighting for the right policies and fighting attacks on health care reform, the state's new health insurance marketplace has opened its doors. Covered California is now offering millions of Californians new choices for health insurance.

From the beginning, CALPIRG has worked to make sure the marketplace would use the buying power of millions of Californians to aggressively push insurers for better deals, more competition and changes in how we pay for health care. The plans announced in California are expected to reduce the cost of health insurance for most individuals, while often offering better benefits.

Thanks to new CALPIRG-supported consumer protections, Californians will not be denied coverage due to pre-existing medical conditions. Prices will not vary by gender. Insurers won't be able to set lifetime maximum dollars amounts for health care, and limits on maximum out-of-pocket costs will protect Californians from medical bankruptcy. All policies sold on the marketplace must cover preventive care, prescription drugs, contraception, medical screenings (e.g., mammograms) and other essential benefits, such as pediatric, mental health, maternity and rehabilitation services.

CALPIRG is continuing to work to provide consumers with access to high-quality, affordable care.

  1. Throughout 2013 and 2014, we plan to educate half a million Californians about our new health insurance options and consumer protections, now in place thanks to the Affordable Care Act. Check out our new health insurance guide for young people.
  2. In fall 2012, we launched our Health Insurance Rate Watch project to investigate rate hikes, and to push back against the industry when those proposed hikes are unjustified. See here for a recent victory for California consumers.
  3. We are fighting the high cost of prescription drugs.
  4. We are calling on the legislature to hold health insurance companies accountable for making sure they are reining in excessive prices and unnecessary paperwork, and to give state officials the power to prohibit insurers from increasing rates if they aren't.

Learn more about our priority campaign to end the pharmaceutical industry's scheme to delay cheaper drugs from entering the market:

Issue updates

Media Hit | Health Care

New Report Shows Rate Review Process Saved Californians $349M Since 2011

Californians have saved $349 million on health insurance under a rate review process established in 2011, according to a report from the California Public Interest Research Group. However, the report released last month also shows that almost one million Californians paid higher premiums due to rate hikes state officials deemed "unreasonable."

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News Release | CALPIRG | Health Care

Health Insurance Rate Review Has Saved Californians $349 Million

 This report looks at the impacts and effects of the first three years of health insurance rate review in California, and makes policy recommendations to strengthen and expand the process to more extensively protect Californians from unjustified health insurance premium hikes.

> Keep Reading
Report | CALPIRG | Health Care

California Health Insurance Rate Review

In its first three years, health insurance rate review in California has saved consumers and small businesses $349 million.

> Keep Reading
Report | CALPIRG Education Fund | Health Care

Comments on the Anthem Blue Cross Proposal to Raise Health Insurance Rates

Anthem Blue Cross has proposed rate increases as high as 24.9% for policyholders in their “grandfathered” health insurance plans that were established before the Affordable Care Act was signed into law. The rate changes average out to a 16 percent increase for 153,000 policyholders, impacting a total of 238,000 Californians currently covered under the plans. Our review found that Anthem failed to provide adequate justification for this rate increase.

> Keep Reading
Media Hit | Health Care

Anthem to raise some premiums as much as 25%

Los Angeles Times: "We are very concerned Anthem proposed a rate hike this high without adequate justification," said Emily Rusch, CALPIRG's director.

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Pages

Media Hit | Health Care

New Report Shows Rate Review Process Saved Californians $349M Since 2011

Californians have saved $349 million on health insurance under a rate review process established in 2011, according to a report from the California Public Interest Research Group. However, the report released last month also shows that almost one million Californians paid higher premiums due to rate hikes state officials deemed "unreasonable."

> Keep Reading
News Release | CALPIRG | Health Care

Health Insurance Rate Review Has Saved Californians $349 Million

 This report looks at the impacts and effects of the first three years of health insurance rate review in California, and makes policy recommendations to strengthen and expand the process to more extensively protect Californians from unjustified health insurance premium hikes.

> Keep Reading
Media Hit | Health Care

Anthem to raise some premiums as much as 25%

Los Angeles Times: "We are very concerned Anthem proposed a rate hike this high without adequate justification," said Emily Rusch, CALPIRG's director.

> Keep Reading
News Release | CALPIRG Education Fund | Health Care

Top Tips for Getting Youth Enrolled in Covered California

CALPIRG Education Fund helps young people check out their coverage options through California's separate health insurance exchange.

> Keep Reading
News Release | CALPIRG Education Fund | Health Care

CALPIRG Education Fund Helps California Students Navigate New Health Insurance Landscape

With the main parts of the Affordable Care Act now going into effect, CALPIRG Education Fund has launched a statewide education campaign reaching out to students with facts about the changes, and tips to help them find the right coverage for themselves.

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Result | Health Care

New Health Care Marketplace Opens

We helped win real reforms that led to the creation of a new California health care marketplace, Covered California. New health insurance options are now available to small businesses and individuals that could save consumers a lot of money. Consumers are able to make choices based not only on cost, and access to care, but the quality of that care.

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Result | Health Care

Pro-consumer Health Care Reform

CALPIRG’s advocacy helped ensure the health care law will bring down costs by setting up a competitive health insurance marketplace. In 2010, California became the first state in the country to begin setting up our state health insurance exchange.

> Keep Reading
Result | Health Care

Fighting To Make Health Care Affordable

Thanks to a new CALPIRG-backed law, insurance companies actually have to justify rate hikes to the public, bringing some much-needed accountability. Thanks in part to the new law — and public pressure, including 1,200 public comments from CALPIRG supporters — Anthem Blue Cross and Blue Shield of California both backed off of double-digit rate hikes.

> Keep Reading
Report | CALPIRG | Health Care

California Health Insurance Rate Review

In its first three years, health insurance rate review in California has saved consumers and small businesses $349 million.

> Keep Reading
Report | CALPIRG Education Fund | Health Care

Comments on the Anthem Blue Cross Proposal to Raise Health Insurance Rates

Anthem Blue Cross has proposed rate increases as high as 24.9% for policyholders in their “grandfathered” health insurance plans that were established before the Affordable Care Act was signed into law. The rate changes average out to a 16 percent increase for 153,000 policyholders, impacting a total of 238,000 Californians currently covered under the plans. Our review found that Anthem failed to provide adequate justification for this rate increase.

> Keep Reading
Report | CALPIRG | Health Care

Top Twenty Pay-For-Delay Drugs

Californians with cancer, heart disease, epilepsy and other conditions have been forced to pay an average of 10 times more than necessary for at least 20 blockbuster drugs, according to a report released today by California Public Interest Research Group (CALPIRG) and Community Catalyst.

 

 

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Report | CALPIRG Education Fund | Health Care

Review of Anthem's Rate Increase on Individual Policies

CALPIRG Education Fund has reviewed a massive new rate increase proposal from Anthem Blue Cross. 340,000 Californians can expect to see rates increase an average of 20% this year, with some as high as 24.9%. CALPIRG Ed Fund has recommended that the California Department of Insurance request that Anthem amend the rate change or make an official determination that the proposed rate change is unreasonable.

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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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Blog Post | Public Health, Health Care

Supreme Court hears arguments on ‘Pay for Delay’ Case

Big Pharma’s anti-competitive practice costs consumers $3.5 billion a year. The 1984 Hatch-Waxman Act was originally intended to increase the availability of generic drugs by allowing generic manufacturers to challenge the patents of name-brand drugs. What emerged in the aftermath was a practice where patent-holding pharmaceutical companies simply paid generic manufacturers not to challenge their patents, thus delaying the release of generic drugs for years. 

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Blog Post | Health Care

We're not done yet: Next steps for CA health care | Pedro Morillas

The Supreme Court has upheld the national health care law, and this is really good news for consumers.

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Blog Post | Consumer Protection, Health Care

The Almighty Dollar before Health and Safety of Americans | Jon Fox

A recent op-ed is completely correct in its assumptions that anti-regulations rhetoric from the U.S. Chamber of Commerce is incessantly talking about regulations killing jobs and the economy.

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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.

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