Proposed Ballot Measure Seeks Tougher Health Insurance Rate Regulation
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You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>","avatar":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twitter":"laliferis","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"futureofyou","roles":["subscriber"]},{"site":"stateofhealth","roles":["subscriber"]},{"site":"science","roles":["subscriber"]},{"site":"food","roles":["contributor"]}],"headData":{"title":"Lisa Aliferis | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lisaaliferis"},"state-of-health":{"type":"authors","id":"8344","meta":{"index":"authors_1591205172","id":"8344","found":true},"name":"State of Health","firstName":"State of 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class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Helen Shen,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/August/20/california-survey-health-insurance-rates-and-prop-45.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>California voters are showing strong early support for a ballot initiative that would expand the state's authority to regulate health insurance rates.\u003c/p>\n\u003cp>Nearly 7 of every 10 respondents indicated that they would vote in favor of Proposition 45, while 16 percent would vote against it, according to a \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2478.pdf\" target=\"_blank\">Field poll\u003c/a> released Wednesday.\u003c/p>\n\u003cp>Proposition 45 would give California's insurance commissioner the power to veto excessive health insurance rate increases.\u003c/p>\n\u003cp>Health insurance rates in the state are currently overseen by the Department of Managed Health Care and the California Department of Insurance. Insurance companies are required to submit proposed rate increases for review each year by state regulators, who may declare rates unreasonable but cannot block them from going into effect.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"This is the missing piece of health reform,\" says Carmen Balber, executive director of Consumer Watchdog in Santa Monica, the advocacy group that sponsored the initiative. \"If every Californian is required to purchase health insurance and no one is overseeing what insurance companies can charge, the insurance industry will have a free pass to raise prices at will.\"\u003c/p>\n\u003cp>Insurance Commissioner Dave Jones \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/05/27/insurance-commissioner-defends-health-insurance-initiative/\" target=\"_blank\">strongly supports the proposition\u003c/a>.\u003c/p>\n\u003cp>Since 2011, insurers have proceeded at least 14 times with rate hikes deemed unreasonable by California regulators, according to the California Public Interest Research Group, a consumer advocacy group in Sacramento. Consumer Watchdog says that those rate increases have cost consumers more than $250 million.\u003c/p>\n\u003cp>Not everyone agrees that Proposition 45 will cut health insurance costs, however. Critics say that the initiative would do nothing to reduce underlying health care costs, but could add a costly bureaucracy to the state's health insurance marketplace. Some also worry that the proposition could expose insurers to legal challenges on rate increases.\u003c/p>\n\u003cp>\"It's going to drive the costs up dramatically,\" says Neil Crosby, a spokesperson for the California Association of Health Underwriters, a Sacramento-based group that represents the private health insurance industry. The campaign against Proposition 45 has received major financial backing from insurance providers such as the Kaiser Foundation Health Plan and Blue Shield of California. (Kaiser Health News is not affiliated with Kaiser Permanente or the Kaiser Foundation Health Plan.)\u003c/p>\n\u003cp>Peter Lee, executive director of Covered California, the state's health care exchange, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/02/fight-continues-over-ballot-measure-to-control-health-insurance-premiums/\" target=\"_blank\">told legislators in July\u003c/a> that the proposition could undermine the exchange's ability to negotiate rates directly with health plans. For now, the exchange wields the bargaining power of 1.4 million people having signed up for insurance through Covered California since last fall.\u003c/p>\n\u003cp>An additional layer of rate review and any potential disputes with the insurance commissioner could keep some plans from being available in time for open enrollment, Lee said, and might even cause some health plans to withdraw from certain markets.\u003c/p>\n\u003cp>Insurance laws vary widely from state to state, but more than half of states already require some health insurance rate increases to be approved by the government before they can be implemented, according to data from the National Association of Insurance Commissioners.\u003c/p>\n\u003cp>Some states that require prior approval of rates have had to plan ahead to meet open enrollment timelines under the health law, says Sabrina Corlette, a senior research fellow at the Georgetown University Health Policy Institute in Washington, D.C. But in general, she says the extra reviews have not posed a problem. \"We have not heard that plans just weren't ready to be sold when open enrollment came around,\" says Corlette.\u003c/p>\n\u003cp>The Field Poll was among the very first to survey state residents on Proposition 45, and a strong blitz by the insurance companies during the fall campaign season could affect public opinion. Insurers have donated millions of dollars to a campaign to defeat the measure.\u003c/p>\n\u003cp>Nonetheless, some observers say the proposition may not make a big difference in the short term.\u003c/p>\n\u003cp>Current market forces and the added restrictions from the health law seem to be helping to keep rate increases low in California, says Dylan Roby, a health policy professor at the University of California, Los Angeles. At the end of July, Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/31/californias-2015-obamacare-premiums-will-increase-modestly/\" target=\"_blank\">announced negotiated rate increases\u003c/a> for 2015, averaging a modest 4.2 percent across the state.\u003c/p>\n\u003cp>The additional oversight could become more relevant in the future, says Roby, if health care spending begins to increase dramatically.\u003c/p>\n\u003cp>At the same time, Roby warns that without proper foresight, the proposition could leave certain markets vulnerable to coverage disruptions. For example, he said, in areas that are costlier to insure, and especially where competition among insurers is lower, Covered California may be forced to accept higher rate increases to keep an insurer’s plan in that jurisdiction. But if the insurance commissioner were to reject those negotiated rates, the health plan could decide to pull out of that area altogether.\u003c/p>\n\u003cp>Close communication between all parties early on in rate negotiations will be key to maintaining statewide access to health insurance, if Proposition 45 passes in November, says Roby.\u003c/p>\n\u003cp>\"Balancing the needs of the insurance commissioner and Covered California could be tricky,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Field Poll, which looked at a variety of health issues including Medicaid and the Covered California exchange, was conducted through telephone interviews of more than 1,500 state residents from June 26 through July 19. It has a margin of error of plus or minus 2.6 percentage points.\u003c/p>\n\n","blocks":[],"excerpt":"Prop. 45 would give the state's insurance commissioner the authority to reject excessive rate increases.","status":"publish","parent":0,"modified":1408715997,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":895},"headData":{"title":"Strong Support for Proposition 45 -- Tougher Rules on Health Insurance Rates | KQED","description":"Prop. 45 would give the state's insurance commissioner the authority to reject excessive rate increases.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"20949 http://blogs.kqed.org/stateofhealth/?p=20949","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/08/20/strong-support-for-proposition-45-tougher-rules-on-health-insurance-rates/","disqusTitle":"Strong Support for Proposition 45 -- Tougher Rules on Health Insurance Rates","path":"/stateofhealth/20949/strong-support-for-proposition-45-tougher-rules-on-health-insurance-rates","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14038\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328.jpg\">\u003cimg class=\"size-large wp-image-14038\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-620x356.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"356\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Helen Shen,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/August/20/california-survey-health-insurance-rates-and-prop-45.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>California voters are showing strong early support for a ballot initiative that would expand the state's authority to regulate health insurance rates.\u003c/p>\n\u003cp>Nearly 7 of every 10 respondents indicated that they would vote in favor of Proposition 45, while 16 percent would vote against it, according to a \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2478.pdf\" target=\"_blank\">Field poll\u003c/a> released Wednesday.\u003c/p>\n\u003cp>Proposition 45 would give California's insurance commissioner the power to veto excessive health insurance rate increases.\u003c/p>\n\u003cp>Health insurance rates in the state are currently overseen by the Department of Managed Health Care and the California Department of Insurance. Insurance companies are required to submit proposed rate increases for review each year by state regulators, who may declare rates unreasonable but cannot block them from going into effect.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"This is the missing piece of health reform,\" says Carmen Balber, executive director of Consumer Watchdog in Santa Monica, the advocacy group that sponsored the initiative. \"If every Californian is required to purchase health insurance and no one is overseeing what insurance companies can charge, the insurance industry will have a free pass to raise prices at will.\"\u003c/p>\n\u003cp>Insurance Commissioner Dave Jones \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/05/27/insurance-commissioner-defends-health-insurance-initiative/\" target=\"_blank\">strongly supports the proposition\u003c/a>.\u003c/p>\n\u003cp>Since 2011, insurers have proceeded at least 14 times with rate hikes deemed unreasonable by California regulators, according to the California Public Interest Research Group, a consumer advocacy group in Sacramento. Consumer Watchdog says that those rate increases have cost consumers more than $250 million.\u003c/p>\n\u003cp>Not everyone agrees that Proposition 45 will cut health insurance costs, however. Critics say that the initiative would do nothing to reduce underlying health care costs, but could add a costly bureaucracy to the state's health insurance marketplace. Some also worry that the proposition could expose insurers to legal challenges on rate increases.\u003c/p>\n\u003cp>\"It's going to drive the costs up dramatically,\" says Neil Crosby, a spokesperson for the California Association of Health Underwriters, a Sacramento-based group that represents the private health insurance industry. The campaign against Proposition 45 has received major financial backing from insurance providers such as the Kaiser Foundation Health Plan and Blue Shield of California. (Kaiser Health News is not affiliated with Kaiser Permanente or the Kaiser Foundation Health Plan.)\u003c/p>\n\u003cp>Peter Lee, executive director of Covered California, the state's health care exchange, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/02/fight-continues-over-ballot-measure-to-control-health-insurance-premiums/\" target=\"_blank\">told legislators in July\u003c/a> that the proposition could undermine the exchange's ability to negotiate rates directly with health plans. For now, the exchange wields the bargaining power of 1.4 million people having signed up for insurance through Covered California since last fall.\u003c/p>\n\u003cp>An additional layer of rate review and any potential disputes with the insurance commissioner could keep some plans from being available in time for open enrollment, Lee said, and might even cause some health plans to withdraw from certain markets.\u003c/p>\n\u003cp>Insurance laws vary widely from state to state, but more than half of states already require some health insurance rate increases to be approved by the government before they can be implemented, according to data from the National Association of Insurance Commissioners.\u003c/p>\n\u003cp>Some states that require prior approval of rates have had to plan ahead to meet open enrollment timelines under the health law, says Sabrina Corlette, a senior research fellow at the Georgetown University Health Policy Institute in Washington, D.C. But in general, she says the extra reviews have not posed a problem. \"We have not heard that plans just weren't ready to be sold when open enrollment came around,\" says Corlette.\u003c/p>\n\u003cp>The Field Poll was among the very first to survey state residents on Proposition 45, and a strong blitz by the insurance companies during the fall campaign season could affect public opinion. Insurers have donated millions of dollars to a campaign to defeat the measure.\u003c/p>\n\u003cp>Nonetheless, some observers say the proposition may not make a big difference in the short term.\u003c/p>\n\u003cp>Current market forces and the added restrictions from the health law seem to be helping to keep rate increases low in California, says Dylan Roby, a health policy professor at the University of California, Los Angeles. At the end of July, Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/31/californias-2015-obamacare-premiums-will-increase-modestly/\" target=\"_blank\">announced negotiated rate increases\u003c/a> for 2015, averaging a modest 4.2 percent across the state.\u003c/p>\n\u003cp>The additional oversight could become more relevant in the future, says Roby, if health care spending begins to increase dramatically.\u003c/p>\n\u003cp>At the same time, Roby warns that without proper foresight, the proposition could leave certain markets vulnerable to coverage disruptions. For example, he said, in areas that are costlier to insure, and especially where competition among insurers is lower, Covered California may be forced to accept higher rate increases to keep an insurer’s plan in that jurisdiction. But if the insurance commissioner were to reject those negotiated rates, the health plan could decide to pull out of that area altogether.\u003c/p>\n\u003cp>Close communication between all parties early on in rate negotiations will be key to maintaining statewide access to health insurance, if Proposition 45 passes in November, says Roby.\u003c/p>\n\u003cp>\"Balancing the needs of the insurance commissioner and Covered California could be tricky,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Field Poll, which looked at a variety of health issues including Medicaid and the Covered California exchange, was conducted through telephone interviews of more than 1,500 state residents from June 26 through July 19. It has a margin of error of plus or minus 2.6 percentage points.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/20949/strong-support-for-proposition-45-tougher-rules-on-health-insurance-rates","authors":["8344"],"categories":["stateofhealth_14"],"tags":["stateofhealth_195","stateofhealth_808"],"featImg":"stateofhealth_14038","label":"stateofhealth"},"stateofhealth_11927":{"type":"posts","id":"stateofhealth_11927","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"11927","score":null,"sort":[1365028173000]},"guestAuthors":[],"slug":"state-hires-consumer-group-to-help-review-health-insurance-rates","title":"State Hires Consumer Group To Help Review Health Insurance Rates","publishDate":1365028173,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>California Insurance Commissioner Dave Jones has irritated the insurance industry and surprised public-policy analysts by hiring Consumer Watchdog, a vocal insurance industry critic, to assist in reviewing health insurance rate increases, the\u003ca href=\"http://www.latimes.com/business/la-fi-0403-insurance-critic-hired-20130403,0,5476273.story\" target=\"_blank\"> Los Angeles Times\u003c/a> reports.\u003c/p>\n\u003cp>In a one-year contract worth up to $88,000, Consumer Watchdog will supplement the rate review process already done by the insurance department.\u003c/p>\n\u003cp>From the Los Angeles Times:\u003c/p>\n\u003cdiv>\n\u003cblockquote>\u003cp>The insurance industry expressed dismay that the state enlisted its longtime nemesis to help review rate increases, and some experts questioned whether it's necessary to further antagonize insurers at a time when state officials are trying to work closely with the industry to implement a massive healthcare expansion.\u003c/p>\n\u003cp>Public-policy experts also scoffed at the arrangement.\u003c!--more-->\u003c/p>\n\u003cp>\"Their very aggressive stance against insurance companies raises serious questions about a conflict of interest,\" said Jessica Levinson, a Loyola Law School professor and expert on government ethics. \"You want an independent researcher.\"\u003c/p>\n\u003cp>Patrick Johnston, president of the insurance trade group California Assn. of Health Plans, said, \"Any review of health plan rates should be conducted by independent, impartial consumer groups that do not have political conflicts of interest and financial motivations.\" ...\u003c/p>\n\u003cp>(I)n an interview, Jones defended using grant money from the federal healthcare law to hire Consumer Watchdog.\u003c/p>\n\u003cp>\"I think it's important to have the consumer perspective, but at the end of the day we make our own determination,\" Jones said. \"This grant funding is a drop in the bucket compared to the hundreds of millions of dollars health insurers and HMOs have on their side. I think ordinary Californians know the deck is stacked against them.\"\u003c/p>\n\u003cp>Jamie Court, president of Consumer Watchdog, said the group's proven track record in challenging insurance company practices made it an ideal choice for the state. ...\u003c/p>\n\u003cp>\"We are the foremost expert on health insurance rates,\" Court said. \"This grant allows us to pull back the curtain and show how the wizards at Anthem and other companies are manipulating Oz. We want to prove that rates are too high.\"\u003c/p>\n\u003cp>That approach by Consumer Watchdog troubled some observers.\u003c/p>\n\u003cp>\"It's like asking one of the Dodgers to umpire a big game for the \u003ca title=\"San Francisco Giants\" href=\"http://www.latimes.com/topic/sports/baseball/san-francisco-giants-ORSPT000025.topic\">San Francisco Giants\u003c/a>,\" said Dan Schnur, director of the Jesse M. Unruh Institute of Politics at USC. \"Consumer Watchdog is a very well-respected organization, but the commissioner is clearly going out of his way to predetermine the outcome.\"\u003c/p>\u003c/blockquote>\n\u003cdiv>\u003c/div>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"California Insurance Commissioner Dave Jones has irritated the insurance industry and surprised public-policy analysts by hiring Consumer Watchdog, a vocal insurance industry critic, to assist in reviewing health insurance rate increases, the Los Angeles Times reports.\r\n\r\nIn a one-year contract worth up to $88,000, Consumer Watchdog will supplement rate review by the insurance department.","status":"publish","parent":0,"modified":1365099937,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":406},"headData":{"title":"State Hires Consumer Group To Help Review Health Insurance Rates | KQED","description":"California Insurance Commissioner Dave Jones has irritated the insurance industry and surprised public-policy analysts by hiring Consumer Watchdog, a vocal insurance industry critic, to assist in reviewing health insurance rate increases, the Los Angeles Times reports.\r\n\r\nIn a one-year contract worth up to $88,000, Consumer Watchdog will supplement rate review by the insurance department.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11927 http://blogs.kqed.org/stateofhealth/?p=11927","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/04/03/state-hires-consumer-group-to-help-review-health-insurance-rates/","disqusTitle":"State Hires Consumer Group To Help Review Health Insurance Rates","path":"/stateofhealth/11927/state-hires-consumer-group-to-help-review-health-insurance-rates","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>California Insurance Commissioner Dave Jones has irritated the insurance industry and surprised public-policy analysts by hiring Consumer Watchdog, a vocal insurance industry critic, to assist in reviewing health insurance rate increases, the\u003ca href=\"http://www.latimes.com/business/la-fi-0403-insurance-critic-hired-20130403,0,5476273.story\" target=\"_blank\"> Los Angeles Times\u003c/a> reports.\u003c/p>\n\u003cp>In a one-year contract worth up to $88,000, Consumer Watchdog will supplement the rate review process already done by the insurance department.\u003c/p>\n\u003cp>From the Los Angeles Times:\u003c/p>\n\u003cdiv>\n\u003cblockquote>\u003cp>The insurance industry expressed dismay that the state enlisted its longtime nemesis to help review rate increases, and some experts questioned whether it's necessary to further antagonize insurers at a time when state officials are trying to work closely with the industry to implement a massive healthcare expansion.\u003c/p>\n\u003cp>Public-policy experts also scoffed at the arrangement.\u003c!--more-->\u003c/p>\n\u003cp>\"Their very aggressive stance against insurance companies raises serious questions about a conflict of interest,\" said Jessica Levinson, a Loyola Law School professor and expert on government ethics. \"You want an independent researcher.\"\u003c/p>\n\u003cp>Patrick Johnston, president of the insurance trade group California Assn. of Health Plans, said, \"Any review of health plan rates should be conducted by independent, impartial consumer groups that do not have political conflicts of interest and financial motivations.\" ...\u003c/p>\n\u003cp>(I)n an interview, Jones defended using grant money from the federal healthcare law to hire Consumer Watchdog.\u003c/p>\n\u003cp>\"I think it's important to have the consumer perspective, but at the end of the day we make our own determination,\" Jones said. \"This grant funding is a drop in the bucket compared to the hundreds of millions of dollars health insurers and HMOs have on their side. I think ordinary Californians know the deck is stacked against them.\"\u003c/p>\n\u003cp>Jamie Court, president of Consumer Watchdog, said the group's proven track record in challenging insurance company practices made it an ideal choice for the state. ...\u003c/p>\n\u003cp>\"We are the foremost expert on health insurance rates,\" Court said. \"This grant allows us to pull back the curtain and show how the wizards at Anthem and other companies are manipulating Oz. We want to prove that rates are too high.\"\u003c/p>\n\u003cp>That approach by Consumer Watchdog troubled some observers.\u003c/p>\n\u003cp>\"It's like asking one of the Dodgers to umpire a big game for the \u003ca title=\"San Francisco Giants\" href=\"http://www.latimes.com/topic/sports/baseball/san-francisco-giants-ORSPT000025.topic\">San Francisco Giants\u003c/a>,\" said Dan Schnur, director of the Jesse M. Unruh Institute of Politics at USC. \"Consumer Watchdog is a very well-respected organization, but the commissioner is clearly going out of his way to predetermine the outcome.\"\u003c/p>\u003c/blockquote>\n\u003cdiv>\u003c/div>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/11927/state-hires-consumer-group-to-help-review-health-insurance-rates","authors":["240"],"categories":["stateofhealth_166","stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_195"],"label":"stateofhealth"},"stateofhealth_4831":{"type":"posts","id":"stateofhealth_4831","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"4831","score":null,"sort":[1333747045000]},"guestAuthors":[],"slug":"insurance-commissioner-calls-aetna-rate-hike-unreasonable","title":"Insurance Commissioner Calls Aetna Rate Hike \"Unreasonable\"","publishDate":1333747045,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cstrong>By: Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4834\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/AetnaRate_Images-Money_Apr62012.jpg\">\u003cimg class=\"size-medium wp-image-4834 \" title=\"AetnaRate_Images Money_Apr62012\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/AetnaRate_Images-Money_Apr62012-300x225.jpg\" alt=\"AetnaRate_Images Money_Apr62012\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Aetna has raised rates on its PPO by 30 percent in the past two years. (Images Money: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>If you were a California business making nearly 28 percent profit, would you change your business strategy if someone asked you nicely?\u003c/p>\n\u003cp>Probably not.\u003c/p>\n\u003cp>In a nutshell, that’s what’s going on between \u003ca href=\"http://www.insurance.ca.gov/\" target=\"_blank\">California’s Department of Insurance\u003c/a> and the health care insurer \u003ca href=\"http://www.aetna.com/\" target=\"_blank\">Aetna\u003c/a>.\u003c/p>\n\u003cp>The Department of Insurance has many jobs, one of which is to make sure that rates stay reasonable by regulating what insurance companies can charge consumers ... with one exception.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>According to Insurance Commissioner \u003ca title=\"http://www.insurance.ca.gov/0500-about-us/0200-commissioner/\" href=\"http://www.insurance.ca.gov/0500-about-us/0200-commissioner/\" target=\"_blank\">Dave Jones\u003c/a>, “I have that authority for auto insurance, for homeowners’ insurance, for property insurance, for casualty insurance -- basically for almost all other insurance lines, except health insurance and HMO products.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">“This is the first time that a health insurer has disregarded our request that it lower its rate increase.”\u003c/aside>\n\u003cp>Jones doesn't like it. “It's quite a loophole, and it's a loophole through which health insurers and HMOs have been driving ever-increasing rate hikes –- 10-20-30-40 -- sometimes as much as 80 percent annual rate increases.”\u003c/p>\n\u003cp>This time around, Aetna increased their PPO rates by 1.8 percent for the quarter that began April 1\u003csup>st\u003c/sup>. This seems like a modest hike, but it brings up the total rate hike in the last year to 8 percent, and it means that small businesses are paying 30.3 percent more for health insurance than they were two years ago.\u003c!--more-->\u003c/p>\n\u003cp>Since the Commissioner cannot force Aetna to offer more reasonable rates, he can only ask.\u003c/p>\n\u003cp>And this time, Aetna declined.\u003c/p>\n\u003cp>“This is the first time that a health insurer has disregarded our request that it lower its rate increase,” said Jones. Both sides did extensive studies to look at the projected increases in Aetna’s cost of providing care. Aetna did an internal analysis and had a third-party actuary confirm and certify their projections. The Department of Insurance did their own actuarial study, based on the company’s claims history. But, the Department said the increase did not seem warranted and labeled it “unreasonable.\"\u003c/p>\n\u003cp>Add this to the \u003ca title=\"http://www.insurance.ca.gov/0400-news/0100-press-releases/release031-12.cfm\" href=\"http://www.insurance.ca.gov/0400-news/0100-press-releases/release031-12.cfm\" target=\"_blank\">Commissioner’s report\u003c/a> that Aetna made 27.7 percent profit last year and generated $1.7 billion for their national parent company, and it’s easy to understand why Jones doesn’t think Aetna needs to be asking more of its California subscribers.\u003c/p>\n\u003cp>“No other industry is making the kind of record profits, except the oil industry, that the health insurers and HMOs are making. And they're making those excessive profits at the expense of ordinary Californians, California's families, and California's businesses,” said Jones.\u003c/p>\n\u003cp>Aetna Director of Communications Susan Millerick says that the company is using that $1.7 billion to improve the services they provide.\u003c/p>\n\u003cp>“The dividend to the parent is re-invested in the business,” she said. She gave some examples of where the money might go: faster claim processing time, investments in new technology, consumer tools – things that will ideally make healthcare more affordable.\u003c/p>\n\u003cp>But if they are making health care less expensive, how can they justify charging more for it?\u003c/p>\n\u003cp>“You have to make the investment and you have to encourage consumers to use [tools to make better health care decisions],” she said. “Until consumers really embrace their roles ... and realize that they can make informed choices, you’re not going to see the cost curve bend.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For now, Commissioner Jones says there is nothing he can do about the current increases. “The health insurers and HMOs can raise the rates as high as they would like. And they do,” he said.\u003c/p>\n\n","blocks":[],"excerpt":"If you were a California business making nearly 28 percent profit, would you change your business strategy if someone asked you nicely?\r\n\r\nProbably not.\r\n\r\nIn a nutshell, that’s what’s going on between California’s Department of Insurance and the health care insurer Aetna.\r\n\r\nThe Department of Insurance has many jobs, one of which is to make sure that rates stay reasonable by regulating what insurance companies can charge consumers ... with one exception.","status":"publish","parent":0,"modified":1333747684,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":643},"headData":{"title":"Insurance Commissioner Calls Aetna Rate Hike \"Unreasonable\" | KQED","description":"If you were a California business making nearly 28 percent profit, would you change your business strategy if someone asked you nicely?\r\n\r\nProbably not.\r\n\r\nIn a nutshell, that’s what’s going on between California’s Department of Insurance and the health care insurer Aetna.\r\n\r\nThe Department of Insurance has many jobs, one of which is to make sure that rates stay reasonable by regulating what insurance companies can charge consumers ... with one exception.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"4831 http://blogs.kqed.org/stateofhealth/?p=4831","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/04/06/insurance-commissioner-calls-aetna-rate-hike-unreasonable/","disqusTitle":"Insurance Commissioner Calls Aetna Rate Hike \"Unreasonable\"","path":"/stateofhealth/4831/insurance-commissioner-calls-aetna-rate-hike-unreasonable","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By: Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4834\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/AetnaRate_Images-Money_Apr62012.jpg\">\u003cimg class=\"size-medium wp-image-4834 \" title=\"AetnaRate_Images Money_Apr62012\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/AetnaRate_Images-Money_Apr62012-300x225.jpg\" alt=\"AetnaRate_Images Money_Apr62012\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Aetna has raised rates on its PPO by 30 percent in the past two years. (Images Money: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>If you were a California business making nearly 28 percent profit, would you change your business strategy if someone asked you nicely?\u003c/p>\n\u003cp>Probably not.\u003c/p>\n\u003cp>In a nutshell, that’s what’s going on between \u003ca href=\"http://www.insurance.ca.gov/\" target=\"_blank\">California’s Department of Insurance\u003c/a> and the health care insurer \u003ca href=\"http://www.aetna.com/\" target=\"_blank\">Aetna\u003c/a>.\u003c/p>\n\u003cp>The Department of Insurance has many jobs, one of which is to make sure that rates stay reasonable by regulating what insurance companies can charge consumers ... with one exception.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to Insurance Commissioner \u003ca title=\"http://www.insurance.ca.gov/0500-about-us/0200-commissioner/\" href=\"http://www.insurance.ca.gov/0500-about-us/0200-commissioner/\" target=\"_blank\">Dave Jones\u003c/a>, “I have that authority for auto insurance, for homeowners’ insurance, for property insurance, for casualty insurance -- basically for almost all other insurance lines, except health insurance and HMO products.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">“This is the first time that a health insurer has disregarded our request that it lower its rate increase.”\u003c/aside>\n\u003cp>Jones doesn't like it. “It's quite a loophole, and it's a loophole through which health insurers and HMOs have been driving ever-increasing rate hikes –- 10-20-30-40 -- sometimes as much as 80 percent annual rate increases.”\u003c/p>\n\u003cp>This time around, Aetna increased their PPO rates by 1.8 percent for the quarter that began April 1\u003csup>st\u003c/sup>. This seems like a modest hike, but it brings up the total rate hike in the last year to 8 percent, and it means that small businesses are paying 30.3 percent more for health insurance than they were two years ago.\u003c!--more-->\u003c/p>\n\u003cp>Since the Commissioner cannot force Aetna to offer more reasonable rates, he can only ask.\u003c/p>\n\u003cp>And this time, Aetna declined.\u003c/p>\n\u003cp>“This is the first time that a health insurer has disregarded our request that it lower its rate increase,” said Jones. Both sides did extensive studies to look at the projected increases in Aetna’s cost of providing care. Aetna did an internal analysis and had a third-party actuary confirm and certify their projections. The Department of Insurance did their own actuarial study, based on the company’s claims history. But, the Department said the increase did not seem warranted and labeled it “unreasonable.\"\u003c/p>\n\u003cp>Add this to the \u003ca title=\"http://www.insurance.ca.gov/0400-news/0100-press-releases/release031-12.cfm\" href=\"http://www.insurance.ca.gov/0400-news/0100-press-releases/release031-12.cfm\" target=\"_blank\">Commissioner’s report\u003c/a> that Aetna made 27.7 percent profit last year and generated $1.7 billion for their national parent company, and it’s easy to understand why Jones doesn’t think Aetna needs to be asking more of its California subscribers.\u003c/p>\n\u003cp>“No other industry is making the kind of record profits, except the oil industry, that the health insurers and HMOs are making. And they're making those excessive profits at the expense of ordinary Californians, California's families, and California's businesses,” said Jones.\u003c/p>\n\u003cp>Aetna Director of Communications Susan Millerick says that the company is using that $1.7 billion to improve the services they provide.\u003c/p>\n\u003cp>“The dividend to the parent is re-invested in the business,” she said. She gave some examples of where the money might go: faster claim processing time, investments in new technology, consumer tools – things that will ideally make healthcare more affordable.\u003c/p>\n\u003cp>But if they are making health care less expensive, how can they justify charging more for it?\u003c/p>\n\u003cp>“You have to make the investment and you have to encourage consumers to use [tools to make better health care decisions],” she said. “Until consumers really embrace their roles ... and realize that they can make informed choices, you’re not going to see the cost curve bend.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For now, Commissioner Jones says there is nothing he can do about the current increases. “The health insurers and HMOs can raise the rates as high as they would like. And they do,” he said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/4831/insurance-commissioner-calls-aetna-rate-hike-unreasonable","authors":["8344"],"categories":["stateofhealth_13"],"tags":["stateofhealth_195"],"featImg":"stateofhealth_4834","label":"stateofhealth"},"stateofhealth_3320":{"type":"posts","id":"stateofhealth_3320","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"3320","score":null,"sort":[1330386275000]},"guestAuthors":[],"slug":"proposed-ballot-measure-seeks-tougher-health-insurance-rate-regulation","title":"Proposed Ballot Measure Seeks Tougher Health Insurance Rate Regulation","publishDate":1330386275,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_3342\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/healthinsuranceclaimsform-thinkstock.jpg\">\u003cimg class=\"size-medium wp-image-3342 \" title=\"The ballot initiative would grant California's Insurance Commissioner the authority to reject health insurance rate increases. (Photo: Thinkstock)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/healthinsuranceclaimsform-thinkstock-300x200.jpg\" alt=\"The ballot initiative would grant California's Insurance Commissioner the authority to reject health insurance rate increases. (Photo: Thinkstock)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The ballot initiative would grant California's Insurance Commissioner the authority to reject health insurance rate increases. (Photo: Thinkstock)\u003c/figcaption>\u003c/figure>\n\u003cp>In more than 30 states, government insurance departments have the authority to reject what they determine to be excessive rate hikes for health insurance. But not in California. Earlier this month, consumer advocates launched a drive to put an initiative on the November ballot to let voters decide if California's Insurance Commissioner should have this power.\u003c/p>\n\u003cp>\"Right now, my sole authority over rates, if I find a rate to be unreasonable, is to sentence a health insurer to my website,\" joked \u003ca title=\"http://insurance.ca.gov/0500-about-us/0200-commissioner/\" href=\"http://insurance.ca.gov/0500-about-us/0200-commissioner/\" target=\"_blank\">Dave Jones\u003c/a>, California's Insurance Commissioner, in an interview.\u003c/p>\n\u003cp>That's a bit of an overstatement, as his department does review rates, making sure the math is right and ensuring there are no inaccuracies. Still, what the Department is left with is \"whatever element of the bully pulpit we have to try to rein those rates in,\" Jones says.\u003c!--more-->\u003c/p>\n\u003cp>Before he was Insurance Commissioner, Jones served as an Assemblyman. He says he introduced legislation in the State Assembly every year for seven years to give the Insurance Commissioner more authority over health insurance rates. But his bills never passed. When he was sworn in as Insurance Commissioner a year ago, he again authored legislation. It went through the House, but is a handful of votes short in the Senate, he says.\u003c/p>\n\u003cp>\"After having tried to accomplish this through the legislature for the last seven years,\" Jones says, \"I know only too well how influential the HMOs and the health insurers are in the state legislature. Time and time again, they've been able to block this legislation, so I think it's time we took this issue to the voters of California.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Enter \u003ca title=\"http://www.consumerwatchdog.org/\" href=\"http://www.consumerwatchdog.org/\" target=\"_blank\">Consumer Watchdog\u003c/a>--the Santa Monica advocacy group that in 1988 backed \u003ca title=\"http://www.insurance.ca.gov/0500-about-us/0500-organization/0400-rate-regulation/prop-103.cfm\" href=\"http://www.insurance.ca.gov/0500-about-us/0500-organization/0400-rate-regulation/prop-103.cfm\" target=\"_blank\">Proposition 103\u003c/a>. While most Californians associate Prop. 103 with auto insurance rate reform, the law also gives the Insurance Commissioner the right to reject rate hikes in property and casualty insurance. Now Consumer Watchdog is \u003ca title=\"http://www.justifyrates.org/\" href=\"http://www.justifyrates.org/\" target=\"_blank\">behind an effort\u003c/a> to give the Insurance Commissioner the same level of authority over health insurance rates. To quality for the November ballot, the group needs 505,000 valid signatures by May.\u003c/p>\n\u003cp>\"We're trying to get on the November ballot and we're doing it with as much volunteer energy as we can,\" said \u003ca title=\"http://www.consumerwatchdog.org/about/our-team\" href=\"http://www.consumerwatchdog.org/about/our-team\" target=\"_blank\">Jamie Court\u003c/a>, President of Consumer Watchdog. \"This is basically about making sure health insurance companies publicly justify their rates under penalty of perjury before they take effect. It's all about getting approval from the government.\"\u003c/p>\n\u003cp>U.S. Senator Dianne Feinstein has long backed this increased regulatory control. Today her office provided an email where the Senator says she was the first person to sign Consumer Watchdog's initiative. \"Consumer Watchdog's ballot measure would require health insurance companies to publicly justify their rates before rate hikes take effect,\" Feinstein wrote in the email.\u003c/p>\n\u003cp>In an opinion piece in the Sacramento Bee last summer, Feinstein wrote:\u003c/p>\n\u003cblockquote>\u003cp>Since 1999, average health insurance premiums for family policies have risen 138 percent, while medical inflation rose just 31 percent, putting insurance out of reach for millions of Californians.\u003c/p>\u003c/blockquote>\n\u003cp>For Valerie Burchfield-Rhodes of Laguna Niguel health insurance is still within reach, but at tremendous cost. She says health insurance is her family's biggest household expense each month, \"substantially more\" than their mortgage. In 2010, her family was paying $1,053 monthly, but in 2011 their premium jumped 36 percent to $1,434 a month with the highest deductible available to them--$7,000.\u003c/p>\n\u003cp>\"I flipped out,\" she told me. \"I was writing letters and contacting people and calling reporters and freaking out because it was so expensive.\" She estimates her family is currently paying $24,000 annually between premiums, the deductible and co-pays for some of her husband's treatment for diabetes.\u003c/p>\n\u003cp>But health insurers say additional regulation is unlikely to be a panacea. \"Rate regulation may sound appealing,\" said Steve Shivinsky, a spokesman for Blue Shield said last week in the\u003ca title=\"http://www.latimes.com/business/la-fi-0223-health-insurance-rate-hikes-20120223,0,7634380.story\" href=\"http://www.latimes.com/business/la-fi-0223-health-insurance-rate-hikes-20120223,0,7634380.story\" target=\"_blank\"> L.A. Times\u003c/a>, but \"It will layer in another complex bureaucratic level of rate review that will gum up the system.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Insurance Commissioner Jones anticipates a different response from health insurance companies. \"Now what the insurers argue [is] 'oh my gosh, if we give the Insurance Commissioner that authority, it's going to be the end of the world as we know it, and we're all going to stop writing insurance. We're going to leave the State of California.' In fact, they made that argument in 1988,\" Jones says in a reference to the Proposition 103 campaign. \"But in truth what happened was they continued to write insurance in California, we continue to have all of the major national insurers still writing insurance in all these product lines and they make a reasonable profit. But what was the best thing about Prop. 103, it saved consumers and business tens of billions of dollars.\"\u003c/p>\n\n","blocks":[],"excerpt":"In more than 30 states, Insurance Commissioners have the authority to reject what they determine to be excessive rate hikes for health insurance. But not in California. Earlier this month, consumer advocates launched a drive to put an initiative on the November ballot to let voters decide if the commissioner should have this power.\r\n\r\n\"Right now, my sole authority over rates, if I find a rate to be unreasonable, is to sentence a health insurer to my website,\" joked Dave Jones, California's Insurance Commissioner, in an interview.","status":"publish","parent":0,"modified":1330391345,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":833},"headData":{"title":"Proposed Ballot Measure Seeks Tougher Health Insurance Rate Regulation | KQED","description":"In more than 30 states, Insurance Commissioners have the authority to reject what they determine to be excessive rate hikes for health insurance. But not in California. Earlier this month, consumer advocates launched a drive to put an initiative on the November ballot to let voters decide if the commissioner should have this power.\r\n\r\n"Right now, my sole authority over rates, if I find a rate to be unreasonable, is to sentence a health insurer to my website," joked Dave Jones, California's Insurance Commissioner, in an interview.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"3320 http://blogs.kqed.org/stateofhealth/?p=3320","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/02/27/proposed-ballot-measure-seeks-tougher-health-insurance-rate-regulation/","disqusTitle":"Proposed Ballot Measure Seeks Tougher Health Insurance Rate Regulation","path":"/stateofhealth/3320/proposed-ballot-measure-seeks-tougher-health-insurance-rate-regulation","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_3342\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/healthinsuranceclaimsform-thinkstock.jpg\">\u003cimg class=\"size-medium wp-image-3342 \" title=\"The ballot initiative would grant California's Insurance Commissioner the authority to reject health insurance rate increases. (Photo: Thinkstock)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/healthinsuranceclaimsform-thinkstock-300x200.jpg\" alt=\"The ballot initiative would grant California's Insurance Commissioner the authority to reject health insurance rate increases. (Photo: Thinkstock)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The ballot initiative would grant California's Insurance Commissioner the authority to reject health insurance rate increases. (Photo: Thinkstock)\u003c/figcaption>\u003c/figure>\n\u003cp>In more than 30 states, government insurance departments have the authority to reject what they determine to be excessive rate hikes for health insurance. But not in California. Earlier this month, consumer advocates launched a drive to put an initiative on the November ballot to let voters decide if California's Insurance Commissioner should have this power.\u003c/p>\n\u003cp>\"Right now, my sole authority over rates, if I find a rate to be unreasonable, is to sentence a health insurer to my website,\" joked \u003ca title=\"http://insurance.ca.gov/0500-about-us/0200-commissioner/\" href=\"http://insurance.ca.gov/0500-about-us/0200-commissioner/\" target=\"_blank\">Dave Jones\u003c/a>, California's Insurance Commissioner, in an interview.\u003c/p>\n\u003cp>That's a bit of an overstatement, as his department does review rates, making sure the math is right and ensuring there are no inaccuracies. Still, what the Department is left with is \"whatever element of the bully pulpit we have to try to rein those rates in,\" Jones says.\u003c!--more-->\u003c/p>\n\u003cp>Before he was Insurance Commissioner, Jones served as an Assemblyman. He says he introduced legislation in the State Assembly every year for seven years to give the Insurance Commissioner more authority over health insurance rates. But his bills never passed. When he was sworn in as Insurance Commissioner a year ago, he again authored legislation. It went through the House, but is a handful of votes short in the Senate, he says.\u003c/p>\n\u003cp>\"After having tried to accomplish this through the legislature for the last seven years,\" Jones says, \"I know only too well how influential the HMOs and the health insurers are in the state legislature. Time and time again, they've been able to block this legislation, so I think it's time we took this issue to the voters of California.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Enter \u003ca title=\"http://www.consumerwatchdog.org/\" href=\"http://www.consumerwatchdog.org/\" target=\"_blank\">Consumer Watchdog\u003c/a>--the Santa Monica advocacy group that in 1988 backed \u003ca title=\"http://www.insurance.ca.gov/0500-about-us/0500-organization/0400-rate-regulation/prop-103.cfm\" href=\"http://www.insurance.ca.gov/0500-about-us/0500-organization/0400-rate-regulation/prop-103.cfm\" target=\"_blank\">Proposition 103\u003c/a>. While most Californians associate Prop. 103 with auto insurance rate reform, the law also gives the Insurance Commissioner the right to reject rate hikes in property and casualty insurance. Now Consumer Watchdog is \u003ca title=\"http://www.justifyrates.org/\" href=\"http://www.justifyrates.org/\" target=\"_blank\">behind an effort\u003c/a> to give the Insurance Commissioner the same level of authority over health insurance rates. To quality for the November ballot, the group needs 505,000 valid signatures by May.\u003c/p>\n\u003cp>\"We're trying to get on the November ballot and we're doing it with as much volunteer energy as we can,\" said \u003ca title=\"http://www.consumerwatchdog.org/about/our-team\" href=\"http://www.consumerwatchdog.org/about/our-team\" target=\"_blank\">Jamie Court\u003c/a>, President of Consumer Watchdog. \"This is basically about making sure health insurance companies publicly justify their rates under penalty of perjury before they take effect. It's all about getting approval from the government.\"\u003c/p>\n\u003cp>U.S. Senator Dianne Feinstein has long backed this increased regulatory control. Today her office provided an email where the Senator says she was the first person to sign Consumer Watchdog's initiative. \"Consumer Watchdog's ballot measure would require health insurance companies to publicly justify their rates before rate hikes take effect,\" Feinstein wrote in the email.\u003c/p>\n\u003cp>In an opinion piece in the Sacramento Bee last summer, Feinstein wrote:\u003c/p>\n\u003cblockquote>\u003cp>Since 1999, average health insurance premiums for family policies have risen 138 percent, while medical inflation rose just 31 percent, putting insurance out of reach for millions of Californians.\u003c/p>\u003c/blockquote>\n\u003cp>For Valerie Burchfield-Rhodes of Laguna Niguel health insurance is still within reach, but at tremendous cost. She says health insurance is her family's biggest household expense each month, \"substantially more\" than their mortgage. In 2010, her family was paying $1,053 monthly, but in 2011 their premium jumped 36 percent to $1,434 a month with the highest deductible available to them--$7,000.\u003c/p>\n\u003cp>\"I flipped out,\" she told me. \"I was writing letters and contacting people and calling reporters and freaking out because it was so expensive.\" She estimates her family is currently paying $24,000 annually between premiums, the deductible and co-pays for some of her husband's treatment for diabetes.\u003c/p>\n\u003cp>But health insurers say additional regulation is unlikely to be a panacea. \"Rate regulation may sound appealing,\" said Steve Shivinsky, a spokesman for Blue Shield said last week in the\u003ca title=\"http://www.latimes.com/business/la-fi-0223-health-insurance-rate-hikes-20120223,0,7634380.story\" href=\"http://www.latimes.com/business/la-fi-0223-health-insurance-rate-hikes-20120223,0,7634380.story\" target=\"_blank\"> L.A. Times\u003c/a>, but \"It will layer in another complex bureaucratic level of rate review that will gum up the system.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Insurance Commissioner Jones anticipates a different response from health insurance companies. \"Now what the insurers argue [is] 'oh my gosh, if we give the Insurance Commissioner that authority, it's going to be the end of the world as we know it, and we're all going to stop writing insurance. We're going to leave the State of California.' In fact, they made that argument in 1988,\" Jones says in a reference to the Proposition 103 campaign. \"But in truth what happened was they continued to write insurance in California, we continue to have all of the major national insurers still writing insurance in all these product lines and they make a reasonable profit. But what was the best thing about Prop. 103, it saved consumers and business tens of billions of dollars.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/3320/proposed-ballot-measure-seeks-tougher-health-insurance-rate-regulation","authors":["240"],"categories":["stateofhealth_14"],"tags":["stateofhealth_28","stateofhealth_195"],"label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2023/08/possible-5gxfizEbKOJ-pbF5ASgxrs_.1400x1400.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2021/10/ATC_1400.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/powerpress/1440_0018_AmericanSuburb_iTunesTile_01.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. 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Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://ww2.kqed.org/app/uploads/2021/10/ME_1400.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/01/OOW_Tile_Final.png","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. 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