Protecting Patients

Resist Corporate, Insurer 'Blackmail' Demands to Exempt Junk Insurance From Health Law, Group Tells White House

Insurers, Employers Threaten to Drop Low-Benefit Employee Insurance If $750,000 Annual Benefit Limit Is Enforced
 
Washington, DC — Americans were promised meaningful health benefits under health reform and deserve better than the near-worthless junk insurance that low-wage employers are lobbying to preserve, said Consumer Watchdog. The group urged President Obama to resist making wholesale exemptions to the new law.

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Health Insurers Kill Real Rate Regulation Legislation; Insurer-Friendly Politicians Line Up Behind Proposal That Will Drive Up Rates in California

Jones/Feuer Effort Defeated; Schwarzenegger/Leno Bill Clears Legislature Allowing Insurers to Charge "Unreasonable" and "Unjustified" Premiums
 
Santa Monica, CA – Sacramento lawmakers, buffeted by hundreds of thousands of dollars in insurance company contributions, defeated a strong insurance rate reform bill supported by consumer and labor organization (AB 2578- Jones/Feuer) late Tuesday night. Democratic opponents of the Jones/Feuer legislation supported an alternative bill, proposed by Governor Schwarzenegger and carried by Senator Mark Leno (SB 1163), that allows insurers to charge excessive health insurance premiums under a new, industry-preferred standard that merely requires rates to be "actuarially sound."  

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$800,000 In Campaign Cash From Health Insurers Stops Premium Regulation In Sacramento

Santa Monica, CA -- Some of the top Democratic recipients of health insurance cash teamed up with Republicans in the California state senate late Monday to block health insurance premium legislation authored by state Assembly Members Dave Jones and Mike Feuer. Overall health insurers have given $800,218 in campaign contributions to California senators since 2007, in addition to gifts and donations made at their behest to nonprofit groups according to an analysis by Consumer Watchdog.

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Anthem Blue Cross Defense of Recent Rate Hikes Codified In New Sen. Leno Bill

Actuarial Soundness” Defense Protects Insurers At Expense of Rate Regulation, Consumer Watchdog Says

Los Angeles, CA -- Anthem Blue Cross’s defense of its recent controversial premium increases will be codified in law under eleventh hour legislation by San Francisco State Senator Mark Leno, SB 1163, just as the California legislature is set to adjourn Tuesday night. Consumer Watchdog, the group behind auto insurance regulation Prop 103 that has saved Californians $62 billion, warned that if health insurers can defend rates simply by having an actuary say the increases are “actuarial sound,”  as Anthem Blue Cross did and Leno’s legislation provides, consumers will be in big trouble.

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Health Law Changes Rules For Docs With In-House Imaging Machines

Physicians Must Disclose If They Own CT, MRI or PET Scanners

Jamie Court, president of Consumer Watchdog, a national consumer advocacy group based in Santa Monica, Calif., said the new disclosure requirement may eventually lead patients to think hard about the financial relationship their doctor has. But in the short term, he said, the law will have little impact. "People will still defer to the white coat."

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States Get Funds to Boost Oversight of Health Insurance Premiums

The $1-million grants, which went to all but five states, will help many expand public access to information about rate hikes and hire experts to review proposed charges.

In California, Gov. Arnold Schwarzenegger's administration specifically ruled out seeking prior approval authority. Consumer Watchdog, a Santa Monica-based advocacy group, urged the administration to reject California's grant application, saying the grant would "prevent, not develop, any effective state regulation of health insurance rates." California nonetheless received its grant, which is to be used to streamline collection of data on proposed rate hikes.

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Seattle Showdown: How Much Say Will Health Insurance Industry Have Over New Health Reform Law?

Insurance Commissioners and Obama Administration Must Resist More Weakening of Curbs on Industry Overhead and Profit, Says Consumer Watchdog

Seattle, WA --The nation’s state insurance commissioners are making far-reaching decisions in Seattle this week on whether health insurance companies will spend more on health care, less on their own overhead and investor profit. The decisions will affect whether insurance companies continue with double-digit premium increases and declines in the amount of actual health care they provide, or seek a more efficient business model that is as fair to consumers as it is to Wall Street, said Consumer Watchdog.

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ObamaCare's Loss Ratio Rules Are Out Of Balance, Critics Say

As part of ObamaCare, the federal government will impose strict new spending rules on health insurers. How it does so could have a sweeping impact on the industry and patient care. "We believe that insurance companies will get enough goodies out of the new "medical loss ratio" (MLR) law that they will not have to do business any differently," said Consumer Watchdog's Judy Dugan. "If a nursing line is something where a nurse can advise a patient on treatment, sure, that may be a medical expense. But if it is just to determine if a patient needs to see a doctor, that's just cost containment."

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Health Insurance Limits Are Rising, If Regulators Approve

Insurers and employers say a generous waiver process is needed to avoid a sudden jump in premiums. But patient advocates, such as California-based Consumer Watchdog, warn against being too lenient. All sides are pressing their cases with the Department of Health and Human Services (HHS), which is writing the rules on the waiver process but has not specified what they will say or when they'll be in place. It's not clear yet whether waivers could continue after 2014. HHS said details on the process are under development, and declined to elaborate.

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Obama Administration Should Require Broad Financial Disclosures from Health Insurers To Scrutinize Unreasonable Rate Hikes

Washington, DC – Consumer Watchdog called on the Obama Administration to adopt new regulations requiring broad financial disclosures by health insurance companies to help insulate Americans from double-digit rate increases. Insurers should provide details of shadowy multibillion-dollar transfers to out-of-state affiliates and parent companies when they are required to justify “unreasonable” rate increases under the health reform law, said the group.

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Recent Articles:

Resist Corporate, Insurer 'Blackmail' Demands to Exempt Junk Insurance From Health Law, Group Tells White House

CONTACT: Jerry Flanagan, 310-392-0522 x319, Carmen Balber, 202-629-3043
September 2, 2010

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$800,000 In Campaign Cash From Health Insurers Stops Premium Regulation In Sacramento

CONTACT: Jamie Court, (310) 874-9989; or Carmen Balber, (310) 403-0284
August 31, 2010

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Anthem Blue Cross Defense of Recent Rate Hikes Codified In New Sen. Leno Bill

CONTACT: Jamie Court, (310) 392-0075; or Jerry Flanagan, (310) 392-0522, ext 319
August 30, 2010

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Health Law Changes Rules For Docs With In-House Imaging Machines

By Phil Galewitz, KAISER HEALTH NEWS / USA TODAY
August 23, 2010

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Recent Posts in Protecting Patients:

Will 'progressives' let middle class burn to prove their point?

When Anthem Blue Cross announced its controversial premium increases in California recently, the insurer claimed, "a carrier must be able to receive actuarially sound rates." So it is remarkable that "progressive" San Francisco State Senator Mark Leno, a single payer health care advocate, recently introduced eleventh hour legislation codifying Anthem Blue Cross's "actuarially sound" defense of premium increases in law.

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New rates at Blue Cross are a meager victory

At the shoe store, 40% off qualifies as at least pretty good. So why does regulators' approval of new, lower rates by Blue Cross of California not feel like victory? There are lots of reasons, but first is that the revised Blue Cross rate hikes are still in double digits, averaging 14% and as high as 20%, while average wages are still falling. And Blue Cross could announce another rate hike whenever it pleases, just as many insurers continue to do.

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Health reform regulation scorecard: The big stuff is headed to court

Wouldn't it be great if we could all deduct our federal income and investment taxes from next year's income? And if we could also deduct that stress-reducing trip to a spa in Bora Bora? And if the government would just take our word for it? Fantasy for us, but the health insurance industry think that's what federal health reform ought to allow, on a corporate scale.

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Seattle Story: Pretty good ending

The worst definitely didn't happen in Seattle. The National Association of Insurance Commissioners deferred the worst insurance industry demands for weakening the implementation of health care reform. For a body so closely linked to...

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Obama's victory lap in rush hour gridlocks LA to raise $1 million for Congress

It took my wife an hour and half to make the two mile commute home Monday, after the secret service closed some of LA's busiest streets at rush hour to shuttle the president from his Beverly Hills hotel to a fundraiser for Congress...

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