Health Insurance Rate Watch Project

OSPIRG’s Health Insurance Rate Watch Project pushes health insurers to do more to cut waste and focus on prevention before they raise premiums. 

Cutting waste from insurance premiums

Health care still costs more than it should. One study estimates that in 2009, $765 billion, or one-third of all health care spending, was wasted on things that did not make us healthier. [1] Some of that estimated waste included:

  • Overinflated medical prices: $105 billion in waste. Recently, hospitals have been caught charging outrageous prices, such as $1000 for one toothbrush and $140 for a single Tylenol. [2]
  • Duplicative treatments: $8 billion in waste. This includes the extra costs of having to get the same x-ray or MRI twice because health care is poorly coordinated.
  • Excessive administrative costs and paperwork: $190 billion in waste. 

Far too often, insurers simply pass those costs along to us in the form of higher premiums. 

So OSPIRG pushes back to make sure health insurance companies do more to cut waste before they raise premiums. Close scrutiny of rate hike proposals already helped cut over 179 million dollars from health insurance premiums in Oregon. [3] Now we want to make sure that insurers do even more to bring down costs: by focusing on keeping patients healthy instead of only paying for treatments once they get sick; actively negotiating for better deals from hospitals; and doing more to cut waste.

Unfortunately, some health insurance companies are spending millions to maintain their influence in Salem. But when we’ve brought public pressure to bear on unjustified rate increases, we’ve seen results, so join us!

**********

[1] Institute of Medicine of the National Academies, Feb. 2011, The Healthcare Imperative: Lowering Costs and Improving Outcomes: infographic and report

[2] CNN, March 2010, Prescription for waste: $1000 toothbrush. See also New York Times, Dec. 2013, As Hospital Prices Soar, a Stitch Tops $500.

[3] OSPIRG Foundation, September 2014, Accountability in Action.

Learn more about Oregon's health insurance rate review process and sign up to get notified about major rate proposals at the Oregon Insurance Division's consumer-friendly website, www.oregonhealthrates.org

Issue updates

News Release | U.S. PIRG | Public Health, Consumer Protection, Health Care

Second recall of King Bio’s homeopathic drugs in the past month

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. 

> Keep Reading
News Release | OSPIRG Foundation | Health Care

Providence’s proposed double-digit rate hike merits close scrutiny, may overcharge consumers

Providence Health Plan has proposed a rate hike of 13.6% on average—as high as 24.1% for some—on over 90,000 Oregonians. According to a new OSPIRG Foundation analysis released today, this rate hike proposal may overstate costs and overcharge consumers for health coverage.

> Keep Reading
Report | OSPIRG Foundation | Health Care

OSPIRG FOUNDATION COMMENTS ON THE PROVIDENCE HEALTH PLAN PROPOSAL FOR INDIVIDUAL HEALTH RATES EFFECTIVE JANUARY 2019

Providence Health Plan’s 91,425 members with individual health insurance plans will see rate hikes of 13.6% on average, and as high as 24.1%, if the premium increase proposed by Providence goes forward. 

> Keep Reading
News Release | OSPIRG Foundation | Health Care

Oregonians Need Better Information on Health Care Costs

Oregon consumers are paying more and have less ability to make informed decisions about their health care due to opaque prices for health care services, according to a report released today by OSPIRG Foundation and Frontier Group. The report provides an in-depth analysis of the power of price transparency to contain costs and improve the experience of care for patients and health care providers, and identifies evidence-based policies and strategies for Oregon to advance health care price transparency. 

> Keep Reading
Report | OSPIRG Foundation and Frontier Group | Health Care

Improving Price Transparency

Opaque and unavailable prices for health care services violate the basic consumer right to know in advance about the price of goods or services. When consumers are asked to make decisions about care without access to meaningful price information, they are unable to make informed decisions in high-stakes situations that can profoundly affect their future health and financial security. Improving the price transparency of health care services isn’t just about fulfilling a basic consumer right – it is also a critical step in diagnosing and addressing the high cost of health care. 

> Keep Reading

Pages

News Release | OSPIRG | Health Care

CONSUMER ALERT: Surprise Medical Bills Ban Begins Today

As of today, Oregon consumers can breathe a little easier when they visit the hospital or emergency room.

> Keep Reading
News Release | OSPIRG | Health Care

OSPIRG applauds Oregon House passage of HB 4018

House Bill 4018A is a small but important step forward for Oregon’s efforts to transform the health care system to contain costs, improve care and improve the health of our communities. The measure now moves on to the Senate for consideration.

> Keep Reading
News Release | OSPIRG | Health Care

Don't be fooled by fake patient groups

AARP Oregon and OSPIRG, the leading senior and consumer advocacy groups in Oregon, are warning voters to watch out for telemarketing scams designed to trick voters into supporting policies that could hurt them.

> Keep Reading
News Release | OSPIRG | Health Care

OSPIRG's Jesse O'Brien Awarded "Health Care Value Advocate of the Year"

Today, OSPIRG Policy Director Jesse O’Brien was awarded “Health Care Value Advocate of the Year,” in recognition of his years of leadership advocating for policies and strategies to improve the value proposition of health care for consumers.

> Keep Reading
News Release | Health Care

New health care executive order is a step in the wrong direction

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.

> Keep Reading

Pages

Plan to cut health care waste moves ahead in Oregon

Members of the Oregon Health Policy Board approved a plan to cut health care administrative waste and save Oregonians $100 million per year in the process.

> Keep Reading

Victory! Oregon Legislature Passes Landmark Health Reform

The bills expand access, tackle soaring costs, and set a path for possible public plan option. Passage of HB 2009 bodes especially well for national reform efforts to tame health care costs, which include many of the same strategies as the Oregon bill.

> Keep Reading

Pages

Report | OSPIRG Foundation | Health Care

Comments on Regence BlueCross BlueShield's proposal to raise individual health insurance rates

Regence BlueCross BlueShield’s 14,811 members with individual health insurance plans will see rate hikes of 17.9% on average, and as high as 36.1%, if the premium rate hike proposed by Regence goes forward.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on Moda Health Plan's proposal to raise individual health insurance rates

Moda Health Plan’s 58,280 members with individual health insurance plans will see rate hikes of 32.3% on average, and as high as 84.2%,if the premium rate hike proposed by Moda goes forward.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on PacificSource Health Plans' proposal to raise individual health insurance rates

PacificSource Health Plans’ members with individual health insurance plans will see rate hikes of 15.2% on average, and as high as 25%, if the premium rate hike proposed by PacificSource goes forward. At the same time, the insurer is planning to scale back its service area drastically and no longer offer its plans in many regions of Oregon.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on PacificSource Health Plan's proposal to raise individual health insurance rates

PacificSource Health Plan members with individual health insurance plans will see rate hikes of 42.7% on average, and as high as 60.4%, if the premium rate hike proposed by PacificSource goes forward. PacificSource’s increase is the largest proposed by a major health insurance carrier in Oregon’s individual market since 2010, when new rules heightening scrutiny of health insurance rates were implemented.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on Regence BlueCross BlueShield of Oregon's proposal to raise individual health insurance rates

Regence BlueCross BlueShield’s membership of more than 24,000 Oregonians with individual health insurance plans will see rate hikes of 12.3% on average, if the premium rate hike proposed by Regence goes forward. Some Regence members in transitional plans that will be discontinued at the end of the current year, which do not include the consumer protections of the federal health reform law, may see increases of up to 235% if they stick with Regence.

> Keep Reading

Pages

Blog Post | Health Care

MEASURE 101 PROTECTS CONSUMERS AND STABILIZES INSURANCE PREMIUMS | Jesse O'Brien

OSPIRG urges a YES vote on this important initiative, which will help contain health insurance rate hikes for Oregon families and individuals buying coverage on their own and fund critical programs that keep Oregonians healthy and out of the emergency room.

> Keep Reading
Blog Post | Health Care

OPEN ENROLLMENT FOR 2018: WHAT YOU NEED TO KNOW | Jesse O'Brien

It’s that time again: Time to enroll in health insurance for next year. Health care has been a political football in Washington throughout the year, and there has been a lot of confusion and uncertainty about the future. With all of this background noise, it’s more important than ever to get the facts about how you and your family can get coverage that works for you. 

> Keep Reading
Blog Post | Health Care

A new program could cut over $81 million from Oregon health insurance premiums—but it’s at risk | Jesse O'Brien

Politicians in Salem are debating whether to refer to the ballot a new program that would contain health insurance premiums for Oregon consumers. OSPIRG runs the numbers to clarify what's at stake in this debate.

> Keep Reading
Blog Post | Health Care

The American Health Care Act is a bad deal for Oregon | Jesse O'Brien

Congress may be about to make a historic mistake that could raise costs and degrade the quality of health care for countless Oregonians—all without seriously taking on any of the myriad problems in our health care system.

> Keep Reading
Blog Post | Health Care

Our Statement on the American Health Care Act

Instead of taking on the high cost of health care and other urgent problems for consumers, Congress may be on the verge of severely damaging the nation’s health insurance markets, raising costs and degrading care for millions of Americans.

> Keep Reading

Pages

Blog Post

Medical debt is the number one cause of bankruptcy in America. Oregon is working to help people avoid that fate.

Blog Post

Health care has been a hot topic in Washington again this year, and there has been a lot of confusion and uncertainty about the future. With all of this background noise, it’s more important than ever to get the facts about how you and your family can get coverage that works for you.

News Release | OSPIRG Foundation

 

OSPIRG Foundation is conducting a statewide survey of consumers about experiences and challenges with the health care system in Oregon.

Blog Post

OSPIRG Foundation is conducting a statewide survey of consumers about experiences and challenges with the health care system in Oregon.

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.

View AllRSS Feed

Support Us

Your donation supports OSPIRG’s work to stand up for consumers on the issues that matter, especially when powerful interests are blocking progress.

Consumer Alerts

Join our network and stay up to date on our campaigns, get important consumer updates, and take action on critical issues.
Optional Member Code