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

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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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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Media Hit | Health Care

Insurance Commissioner Must Respond to Rate Hikes

 Without strong implementation of new health care laws, the cost of health care will continue to grow faster than income and inflation.

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Media Hit | Health Care

Politico: Obama, allies ready health care blitz

U.S. PIRG will host about three dozen events with members of Congress and elected officials across the country on Sept. 23, touting the new law. Its student groups, Student PIRGs, will have 100 organizers out the same day on dozens of college campuses distributing “The Young Person’s Guide to Health Insurance,” featuring a letter from President Barack Obama.

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Blog Post

Today Reuters broke a story about at least 30 drugmakers that are planning to raise their U.S. prices on medicine in January 2019. The information was gathered thanks to California bill SB 17, authored by Senator Ed Hernandez, supported by CALPIRG, and signed into law last year.

Blog Post

Cost containment is is a critical first step in addressing the deep faults in our health care system - it's hard to image fixing problems of access if we continue to be charged $15 for a Tylenol pill or $1,000 for a toothbrush. It turns out that overpriced equipment repair helps add to those inflated costs.

News Release | U.S. PIRG

King Bio Inc. issued the second significant voluntary recall since late July of their homeopathic drugs on Wednesday. Safety concerns over homeopathic drugs extend beyond King Bio as over the past several years, the FDA has issued recalls to several companies for a variety of health products from zinc-containing intranasal medicine to asthma drugs with toxic ingredients. 

News Release

Today, President Trump signed a new Executive Order that aims to loosen up rules for health insurance plans for individuals, families and small businesses. Though the administration touts the potential for lower-cost health insurance under looser rules, this action will not help American consumers. In fact, it is likely to make matters worse by destabilizing the markets Americans rely on for health coverage. American consumers need real action on health care costs, but this simply will not cut it.

News Release

Today, California Governor Jerry Brown signed Senate Bill 17 into law, a groundbreaking measure to increase transparency and accountability for the prescription drug industry. We celebrate the new law—passed with support and hard work from CALPIRG—as a landmark victory for consumers, not just in California, but nationwide.

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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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