Making Health Care Work

HOLDING HEALTH INSURERS ACCOUNTABLE—CALPIRG is working to make sure health insurers are providing affordable, high-quality care, and not trying to increase profits at our expense.

LOWER COSTS, BETTER CARE

After years of fighting for the right policies and fighting attacks on health care reform, the state's new health insurance marketplace has opened its doors. Covered California is now offering millions of Californians new choices for health insurance.

From the beginning, CALPIRG has worked to make sure the marketplace would use the buying power of millions of Californians to aggressively push insurers for better deals, more competition and changes in how we pay for health care. The plans announced in California are expected to reduce the cost of health insurance for most individuals, while often offering better benefits.

Thanks to new CALPIRG-supported consumer protections, Californians will not be denied coverage due to pre-existing medical conditions. Prices will not vary by gender. Insurers won't be able to set lifetime maximum dollars amounts for health care, and limits on maximum out-of-pocket costs will protect Californians from medical bankruptcy. All policies sold on the marketplace must cover preventive care, prescription drugs, contraception, medical screenings (e.g., mammograms) and other essential benefits, such as pediatric, mental health, maternity and rehabilitation services.

CALPIRG is continuing to work to provide consumers with access to high-quality, affordable care.

  1. Throughout 2013 and 2014, we plan to educate half a million Californians about our new health insurance options and consumer protections, now in place thanks to the Affordable Care Act. Check out our new health insurance guide for young people.
  2. In fall 2012, we launched our Health Insurance Rate Watch project to investigate rate hikes, and to push back against the industry when those proposed hikes are unjustified. See here for a recent victory for California consumers.
  3. We are fighting the high cost of prescription drugs.
  4. We are calling on the legislature to hold health insurance companies accountable for making sure they are reining in excessive prices and unnecessary paperwork, and to give state officials the power to prohibit insurers from increasing rates if they aren't.

Learn more about our priority campaign to end the pharmaceutical industry's scheme to delay cheaper drugs from entering the market:

Issue updates

Report | CALPIRG Education Fund | Consumer Protection, Health Care

CALPIRG joint letter on Consumer protection for “California Covered”

CALPIRG joins a coalition of consumer advocates in preventing risks to consumers using the new health benefits exchange known as “California Covered.”

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Report | CALPIRG Education Fund | Consumer Protection, Health Care

Comments on the Aetna Life Insurance Company Proposal to Increase Rates

Nearly 70,000 Californians in small group insurance plans will see rate hikes averaging 8%, with some as high as 22%, if the premium rate hike proposed by Aetna Life Insurance Company go forward. After careful analysis of Aetna’s filing, CALPIRG is concerned that Aetna has not provided sufficient information to justify this rate increase.

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News Release | CALPIRG Education Fund | Consumer Protection, Health Care

Hospitals in the Bay Area are Most Expensive in the State for Surgeries

A new report by CALPIRG Education Fund found large discrepancies between what California hospitals charge for common surgeries, which appear unrelated to quality of care.

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Report | CALPIRG Education Fund | Consumer Protection, Health Care

Your Price May Vary

New report finds that the price charged for common surgeries varies dramatically from one region to another within California.

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News Release | CALPIRG | Health Care

Statement by Pedro Morillas CALPIRG Legislative Director on U.S. Supreme Court Decision to Uphold Health Reform Law

Today’s decision is good news for consumers in California. Insurance companies can’t go back to the days of dropping your coverage once you become ill, or denying coverage to sick children. And beginning in 2014, the days of insurers being able to deny anyone coverage for “pre-existing conditions” will be history.

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Media Hit | Health Care

Associated Press: Calif. Senate gets bill regulating insurance rates

"With health insurance costs increasing almost 10 percent a year for the past 10 years, consumers can't afford to wait any longer for a real check on rate hikes," said Pedro Morillas, legislative director for the California Public Interest Research Group, in a statement.

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Media Hit | Health Care

Los Angeles Times Editorial: California needs to be able to regulate health insurance premiums

The measure, AB 52 by Assemblyman Mike Feuer (D-Los Angeles), would give the Department of Insurance the same authority to modify or reject proposed increases in health insurance premiums as it has in automobile and homeowner's insurance.

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Media Hit | Health Care

Washington Post: Anthem Blue Cross delays premium, co-pay hikes in Calif. for estimated $40 million savings

Anthem Blue Cross, the largest health plan in California, said Monday it will delay and reduce rate hikes that would have hit some 600,000 policyholders at an estimated cost of $40 million.

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Media Hit | Health Care

Sacramento Bee Viewpoints: Reviled health care law already helping people

A year after the passage of the federal health reform, the debate over the law continues to rage on the cable news shows and in Washington. Unfortunately, these fights have given off far more heat than light, with the inside-the-Beltway squabbles being mostly focused on scoring political points and not on assessing what the law is actually doing for real people.

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Media Hit | Health Care

Insurance Commissioner Must Respond to Rate Hikes

 Without strong implementation of new health care laws, the cost of health care will continue to grow faster than income and inflation.

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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.

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