Health Insurance Rate Watch Project

OSPIRG’s Health Insurance Rate Watch Project is standing up to health insurers when their rate hikes are excessive and unjustified.

FIGHTING UNJUSTIFIED PREMIUM HIKES

It’s time for health insurers to get serious about lowering the cost of care by cutting waste and focusing on preventive care that gets results —instead of raising deductibles and hiking premiums. OSPIRG’s Health Insurance Rate Watch Project is working to make this a reality.
Together, we’re making a difference. Thanks to an OSPIRG-backed law, the state has held insurance companies accountable for their increases and put more than $37 million back into consumers’ pockets. Highlights include:

  • Regence customers saved $12.5 million, or over $200 per person, when the state cut back Regence’s proposed 22.1% increase to 12.8%. 
  • United HealthCare customers saved $274 per person when the state knocked back their 16.8% proposed increase to 10%.

Our sister organization, OSPIRG Foundation,  investigates the biggest rate hike proposals and alerts state officials to areas of waste and concern. OSPIRG then mobilizes the public to encourage Gov. Kitzhaber’s administration to stand up for consumers.

WHAT’S AT STAKE
Health care costs too much, delivers too little in return, and is squeezing the budgets of families and small businesses across the state. Health insurance companies could be lowering costs by cutting administrative bloat, driving a hard bargain with hospitals on prices, paying doctors to keep people healthy rather than to order expensive treatments, and passing on those savings to customers. But too often, they just keep raising rates on their customers without doing these things.

Before insurance companies hike rates, they need to demonstrate that they are doing everything they can to keep rates down. State officials need to scrutinize these rate hikes to make sure every red cent is justified — and reject them if they are not. When we’ve brought public pressure to bear on rate increases, we’ve won dramatic savings for consumers. 

Issue updates

Media Hit | Health Care

Malpractice Legislation Nearly Ready to See Daylight

After months of negotiations between trial lawyers and physicians, legislators are optimistic about reaching a consensus on medical malpractice reform when they gather in Salem next month. All along the goal has been to find a way of reducing lawsuits while creating a safer patient environment.

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Media Hit | Health Care

What's Next on Health Care Costs?

Now that the election is over, talk has turned to the need to work together and get results for America. It's a tall order, and on the polarized issue of health care, it may seem at first like an impossible task. But I am hopeful that we can make significant progress together.

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Blog Post | Health Care

A new way of shopping for health insurance gets a trial run | Jesse Ellis O'Brien

 

For the first time, the Oregon Health Insurance Exchange brought in consumers and outside experts to review their designs for their online marketplace. I was there, and here’s some of what I learned.

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Blog Post | Health Care

Here’s that Rx refill you didn’t order | Jesse Ellis O'Brien

Is your pharmacy refilling your prescription without your knowledge or approval, and billing your insurance company for the cost? If so, it’s the latest example of waste we shouldn't tolerate in our health care system.

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Report | OSPIRG Foundation | Health Care

Comments on PacificSource Health Plans Proposal to Increase Small Group Health Insurance Rates

PacificSource Health Plans is proposing a rate increase on small business plans that will affect over 36,000 Oregonians, with an average increase of 8.62% and ranging up to 14.5% for some customers. If approved, the increase would go into effect January 1, 2013.

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News Release | OSPIRG Foundation | Health Care

Regence Rate Hike Not Justified

Regence BlueCross BlueShield of Oregon’s proposal to raise rates for Oregonians with individual health insurance plans does not measure up, according to a new OSPIRG Foundation analysis.

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Media Hit | Health Care

Regence BlueCross BlueShield defends proposed rate hike at Salem hearing

Escalating medical and prescription drug costs have given Regence BlueCross BlueShield executives little choice but to raise rates an average 9.6 percent for people who buy their own insurance, an executive told Oregon insurance regulators Monday.

Jesse Ellis O'Brien of the OSPIRG Foundation said Oregonians will face less choice and more costs as a result of the proposal.

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Media Hit | Health Care

Regence Reduces Payments to Healthcare Professionals

July 26, 2012 -- Physicians and other healthcare professionals are being hit with a rate reduction from Regence BlueCross BlueShield on October 1, while the insurer is asking the Insurance Division to approve a 9.6 percent increase for roughly 53,000 people who buy their own coverage. A public hearing on that rate request will be held next Monday at 3 p.m. in Salem.

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News Release | OSPIRG Foundation | Health Care

Providence Customers May See Rates Rise As Much As 18.6%

 

More than 12,000 Oregonians with individual health insurance plans will see rate hikes of 15.7% on average, and as high as 18.6%, if the premium rate hike posted today by Providence Health Plans goes forward. Many customers will also see increased out-of-pocket costs.

 

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News Release | OSPIRG Foundation | Health Care

Regence Rate Hike To Reach 16.4% for Some Customers

More than 52,000 Oregonians with individual health insurance plans will see rate hikes of 9.6% on average, and as high as 16.4%, if the premium rate hike posted today by Regence BlueCross BlueShield goes forward. At the same time, customers in lower-deductible plans will face out-of-pocket costs starting at $2,500 before coverage kicks in, and consumers in the Portland metro area may need to change providers.

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Report | OSPIRG Foundation | 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. In this issue brief, we highlight the number of people the law has helped so far and the costs already saved to illustrate what’s at stake for Oregon consumers in the pending Supreme Court case.

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Report | OSPIRG Foundation | Health Care

Comments on PacificSource's Small Business Rate Hike Proposal

PacificSource is proposing to increase rates 5.56% on average, affecting 35,224 Oregonians enrolled in small business plans. If approved, this rate increase will have wide ranging impacts. Most enrollees will see increases of between 6% and 10%. Some will see increases of up to 11.2%. Over 27% will see increases of between 8% and 14%.

 

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Report | OSPIRG Foundation | Health Care

Comments on Regence Small Business Rate Hike Proposal

We are concerned that Regence BlueCross BlueShield (Regence) has not adequately justified its proposal for a rate increase impacting 47,806 Oregonians with coverage through a small business employer.

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Report | OSPIRG Foundation | Health Care

Making the Grade

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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Blog Post | Health Care

Regence alters course in response to consumer outcry | Jesse Ellis O'Brien

It's a difficult and confusing time to be a Regence customer. After announcing drastic network cutbacks last month, Regence altered course today in the wake of widespread criticism. But Regence customers can still expect to be paying more and getting less.

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Blog Post | Health Care

What should your health plan cover?—Oregon wants to hear from YOU! | Jesse Ellis O'Brien

We all expect our health insurance to cover our basic health needs, but the significant differences in coverage between plans can be confusing and disempowering for consumers. What services should all health insurance in Oregon cover? Governor Kitzhaber recently convened a panel to answer just this question--and they want to hear from you!

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Blog Post | Health Care

Oregon Health Insurance Exchange Debates Strategies to Control Costs, Improve Quality | Jesse Ellis O'Brien

The future of health insurance in Oregon is at stake this summer.  The state is in the middle of an ambitious effort to remake health care that holds the promise of creating a better deal for consumers—if it’s done right.

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Blog Post | Health Care

CO-OP Health Insurance Promises Greater Consumer Control | David Rosenfeld

What if your health insurance company answered to you?  What if it could be held accountable for its policies and fees through member elections? 

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Blog Post | Health Care

Oregon Healthcare Exchange Holds Promise for Consumers | Matt Orchant

Consumers and small businesses may get better healthcare for lower costs if the Oregon Healthcare Exchange meets its potential.

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PRIORITY ACTION

Take our quick survey to let us know who your health insurer is, and we'll make sure you're the first to know when they propose a rate hike — and give you a chance to speak up.
 

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