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!

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[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 | OSPIRG | Health Care

Plan to Cut Health Care Waste Moves Ahead

This week, state officials advanced a plan to cut needless administrative paperwork -- red tape that wastes doctors’ time and adds to already unaffordable health care costs.

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News Release | OSPIRG Foundation | Health Care

Oregon the Focus for Next Stage of Health Reform

The new federal health care reform law puts state leaders in the driver’s seat, according to a new report by consumer advocacy group OSPIRG.

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Report | OSPIRG Foundation | Health Care

Delivering on the Promise

The recently passed federal health care reform law will make significant changes in how health insurance and health care work for consumers, businesses, and local and state governments, as well as how insurers and providers operate.  But whether Americans experience improved care, lower costs and greater access depends largely on what happens next.

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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.

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Media Hit | Health Care

Oregon approves Regence rate increase of 14.7%

Rates increases exceeded four times the rate of inflation last year for more than 400,000 Oregonians with individual, small group and portable insurance plans, according to a report released this week by the OSPIRG Foundation, an affiliate of the Oregon State Public Interest Research Group.

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Pages

Blog Post

The Fifth Circuit head oral arguments in the Texas v. Azar Lawsuit on July 9, 2019.  Oregon has a lot at stake if the Affordable Care Act is overturned - hundreds of thousands of consumers will face higher premiums or lose insurance outright, and dozens of important cosumer protections could be rolled back.

News Release | OSPIRG

Oregon's Senate voted unanimously to advance HB 2658 to the Governor's desk, 25-0.  This bill requires pharmaceutical manufactuers to provide 60-days advance notice before implementing substantial price hikes on prescription drugs.  Advance notice gives patients and health benefit companies time to plan around price hikes instead of being blindsided.  A similar policy in California has bee associated with rollbacks of several planned price increases over the summer of 2018.

News Release | OSPIRG Foundation

Oregon consumers face rising health insurance premiums on the individual market, due to rising health care costs and recent changes to federal policy.  A new report from OSPIRG Foundaiton and Frontier Group explores the drivers of market instability and policy options for the state to stabilize the marketplace and expand consumer choice.

Report | OSPIRG Foundation

New report from OSPIRG Foundation and Frontier Group details rising health care costs and federal disruptions to the individual insurance market; explores policy options to stabilize prices and expand consumer choice.

Blog Post

This March, the State of Oregon launched a system that allows consumers to report price increases on their prescription drugs.   OSPIRG encourages consumers to report price increases on their prescriptions to the state whenever possible.

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