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

Blog Post | Public Health, Health Care

Supreme Court hears arguments on ‘Pay for Delay’ Case | Wesley Samms

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. 

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

Anthem hikes rates 22%

Anthem Blue Cross is moving forward with a new rate hike on California consumers which will leave hundreds of thousands of individuals paying an average 22 percent more for insurance this year. Anthem had proposed raising rates 26 percent, but trimmed the rate to 22 percent after the California Department of Insurance (CDI) found the original increase unreasonable.

> Keep Reading
Media Hit | Health Care

Letter to the Editor: Why healthcare costs so much

Wesley Samms' letter to the editor regarding the recent LA Times article: "Small surgery, huge markup," Business, Jan. 31

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

Aetna reduces rate following CALPIRG Ed Fund's review

 This week, Aetna Life Insurance Company announced plans to reduce its proposed increase in health insurance premiums. In November, CALPIRG Education Fund completed a review of the rate hike and recommended that the California Department of Insurance declare it unreasonable. Now, 68,000 small business employees impacted by the rate hike will see a significantly smaller increase in their health insurance premiums.

> Keep Reading
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.

> Keep Reading

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News Release | CALPIRG Education Fund | Health Care

Anthem hikes rates 22%

Anthem Blue Cross is moving forward with a new rate hike on California consumers which will leave hundreds of thousands of individuals paying an average 22 percent more for insurance this year. Anthem had proposed raising rates 26 percent, but trimmed the rate to 22 percent after the California Department of Insurance (CDI) found the original increase unreasonable.

> Keep Reading
Media Hit | Health Care

Letter to the Editor: Why healthcare costs so much

Wesley Samms' letter to the editor regarding the recent LA Times article: "Small surgery, huge markup," Business, Jan. 31

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

Aetna reduces rate following CALPIRG Ed Fund's review

 This week, Aetna Life Insurance Company announced plans to reduce its proposed increase in health insurance premiums. In November, CALPIRG Education Fund completed a review of the rate hike and recommended that the California Department of Insurance declare it unreasonable. Now, 68,000 small business employees impacted by the rate hike will see a significantly smaller increase in their health insurance premiums.

> Keep Reading
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.

> Keep Reading
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.

> Keep Reading

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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 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.

> Keep Reading
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.”

> Keep Reading
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.

> Keep Reading
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.

> Keep Reading
Report | CALPIRG Education Fund | Health Care

At Stake: What’s on the Line for Health Care Consumers in the Pending Supreme Court Case

The outcome of the U.S. Supreme Court’s ruling on the Affordable Care Act (ACA) will have far reaching impacts on consumers. The law is already working to improve the quality of care and reduce costs, with millions of Americans experiencing concrete improvements in their coverage.

> Keep Reading

Pages

Blog Post | Public Health, Health Care

Supreme Court hears arguments on ‘Pay for Delay’ Case | Wesley Samms

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. 

> Keep Reading
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.

> Keep Reading
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.

> Keep Reading
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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.