Making Health Care Work

LOWERING HEALTH CARE COSTS—A pro-consumer health insurance exchange would allow hundreds of thousands of families and businesses to join together and negotiate for cheaper health care plans.

LOWER COSTS, BETTER CARE

Now the fight for health care reform is in Sacramento, and so are the health care industry’s lobbyists.

At stake is how we set up a new insurance marketplace in California — the single biggest tool we have to clean up health care. The new state insurance exchange will allow small businesses, those of us who buy health care on our own, and the uninsured to shop for cheaper health care plans and find some relief from increasingly brutal premiums.  

Done right, the exchange will save billions and level the balance of power between consumers and the health care industry — driving the industry to cut waste and prioritize high-quality care.

The health care industry has spent millions to influence decisions on health care, so they know how high the stakes are.

In order to help us fight back against the kind of price jumps and trap-door coverage we’ve all been suffering from, CALPIRG is pushing to see that the exchange:

  1. Negotiates for better plans. By demanding better care for less cost, the exchange can use the collective power of hundreds of thousands of Californians to finally demand that the industry does better. 
  2. Have high standards, so that bad plans aren’t an option. 
  3. Be open to as many Californians as possible. Limits that shut some individuals and businesses out of the exchange would reduce its ability to lower costs — and will be a key tactic that industry lobbyists use to weaken it. 
  4. Be accountable to the public.

Issue updates

Report | CALPIRG Education Fund | Health Care

Making the Grade

Health care exchanges, authorized by 2010’s health reform law, offer the states the chance to address the twin problems of cost and quality, and help consumers get a fair shake when buying insurance. 

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News Release | CALPIRG Education Fund | Health Care

California's Health Exchange on Track to Lower Costs for Consumers

California’s health insurance exchange has the potential to be a national leader in delivering better value for consumers, according to Making the Grade, a new report by CALPIRG Education Fund. 

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News Release | CALPIRG | Health Care

Blue Shield Refund Shows Need for Stronger Rate Review

Blue Shield of California followed through on its promise to cap profits at 2% of revenue resulting in a refund of $295 million to policyholders.  This action comes in the midst of increased public scrutiny about major premium increases from several of California’s major health insurers and a push for legislation that would give regulators the authority to reject or reduce unjustified rate hikes. 

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Result | Health Care

Fighting To Make Health Care Affordable

Thanks to a new CALPIRG-backed law, insurance companies actually have to justify rate hikes to the public, bringing some much-needed accountability. Thanks in part to the new law — and public pressure, including 1,200 public comments from CALPIRG supporters — Anthem Blue Cross and Blue Shield of California both backed off of double-digit rate hikes.

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News Release | CALPIRG | Health Care

Governor Signs Health Care Bill to Limit Insurers' Overhead

Governor Brown signed a new health care bill into law that will require insurers to use a higher percentage of consumers’ premiums for actual health care costs.   If insurers fail to meet this target consumers will be eligible for an annual rebate. 

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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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Report | CALPIRG Education Fund | Health Care

'Tis Always the Season for Giving

Desperate to rein in skyrocketing prescription drug costs, lawmakers, healthcare plans and individual consumers are taking a much closer look at the promotional practices of the pharmaceutical industry. One aspect that has come under heavy scrutiny is a marketing technique known as detailing. This white paper examines the mechanics and potential harms of pharmaceutical detailing, describes the steps that have been taken to address those problems, and explores policy options for addressing the issue.

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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.