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

Blog Post | Health Care

Open enrollment for 2017: What you need to know | Jesse Ellis O'Brien

It’s that time again: Time to enroll in health insurance for 2017. Here’s our guide to Oregon’s open enrollment period, which starts November 1.

> Keep Reading
Blog Post | Health Care

The Last Word on Oregon’s 2017 Health Insurance Rates and Coverage Options | Jesse Ellis O'Brien

An update on the latest developments with health insurance rates for 2017 and what they mean for the future of healthcare in our state.

> Keep Reading
Blog Post | Health Care

Oregon awarded a “B” on health care price transparency—but the state is still failing consumers | Jesse Ellis O'Brien

OSPIRG has been pushing for years to increase access to accurate, actionable health care price information for Oregon consumers. So you’d think we would be celebrating when a national scorecard from the transparency advocates at Catalyst for Payment Reform recently gave Oregon a “B” rating—up from an “F” in every prior year—for progress toward making price information more widely available. Unfortunately, there’s much less here than meets the eye.

> Keep Reading
News Release | OSPIRG Foundation | Health Care

Proposed health insurance rate hikes up to 32.3% merit close scrutiny, raise stakes for containing rising health care costs

Many of Oregon’s biggest health insurers have proposed large double-digit rate hikes for 2017, and according to new OSPIRG Foundation analysis released today, these proposals highlight not only the need for close scrutiny of health insurance rates, but also the urgency of action to contain the rising cost of health care services.

> Keep Reading
Blog Post | Health Care

Proposed Health Insurance Rates for 2017: What You Need to Know | Jesse Ellis O'Brien

Here’s the skinny on OSPIRG Foundation’s new analysis of 2017 rates proposed by five Oregon insurers—Kaiser, Moda, PacificSource, Providence and Regence. There’s some good news, some concerning news, and some very concerning news, but the best news of all is that thanks to Oregon’s health insurance rate review process, the insurers don’t get the last word.

> Keep Reading

Pages

News Release | OSPIRG Foundation | Health Care

Proposed health insurance rate hikes up to 32.3% merit close scrutiny, raise stakes for containing rising health care costs

Many of Oregon’s biggest health insurers have proposed large double-digit rate hikes for 2017, and according to new OSPIRG Foundation analysis released today, these proposals highlight not only the need for close scrutiny of health insurance rates, but also the urgency of action to contain the rising cost of health care services.

> Keep Reading
News Release | OSPIRG | Health Care

OSPIRG applauds passage of landmark health insurance network consumer protection legislation

House Bill 2468 will enable state regulators hold insurers accountable for delivering access to needed health care services through provider networks. The bill passed the Oregon Senate today and is on its way to Gov. Brown’s desk.

> Keep Reading
News Release | OSPIRG | Health Care

Vote on health care price transparency proposal blocked by health industry lobbying

Yesterday a scheduled vote on an OSPIRG-supported bill to require health care providers to give consumers up front prices was pulled from consideration, and the bill will not meet today’s deadline for all bills to clear their first committee vote.

> Keep Reading
News Release | OSPIRG | Health Care

Oregon lawmakers poised to debate two proposals to make health care prices more transparent

Today, an Oregon Senate Committee will hear public testimony for the first time on two pieces of legislation with very different approaches to making health care price information more widely available. To clarify what is at stake, OSPIRG has released a white paper (pdf) outlining the key differences between the two proposals.

> Keep Reading
News Release | OSPIRG | Health Care

Legislation introduced to make sure consumers get to see health care prices up front

Senate Bill 891, introduced today, would require Oregon health care facilities to post their prices and provide real-time price estimates for consumers on request.

> Keep Reading

Pages

Result | Health Care

Health Insurance Legislation Passed

In 2015, with OSPIRG’s strong support, the Oregon Legislature passed the state’s first comprehensive consumer protections in health insurance networks. Until now, Oregon law provided few protections to ensure that health plans offer a network that can provide covered services in a timely fashion. The new law requires insurers to provide accurate, actionable provider network information to consumers.

> Keep Reading
Result | Health Care

Kitzhaber Administration takes action on health care costs

At the direction of Gov. Kitzhaber, the Oregon Health Policy Board has adopted an OSPIRG-backed proposal to take steps toward cutting the waste out of our health care system, estimated to make up as much as 1/3 of every dollar we spend on care.

> Keep Reading
Result | Health Care

Governor Kitzhaber To Pursue Strengthened Scrutiny for Health Insurance Rates

Following an OSPIRG Foundation report recommending changes to Oregon's health insurance rate review process to make it more effective, Governor Kitzhaber has announced that his administration will take the next steps.

> Keep Reading
Result | Health Care

MAKING HEALTH CARE AFFORDABLE

OSPIRG Health Care Advocate Laura Etherton helped lead efforts to require Oregon health insurers to meet tougher standards to prove premium increases are reasonable. Prompted in part by OSPIRG advocacy, Oregon officials scaled back a request by United Healthcare to raise health insurance rates by nearly 17%, saving 14,000 Oregonians a cumulative $4 million in 2011.

> Keep Reading
Result | Health Care

Young People Now Covered

This year, the federal health care reforms that OSPIRG worked to win have started to pay off for young people. In the past, teens saw their premiums soar or were denied coverage when they turned 19, even if they’d been insured their whole lives. Now, they can remain on their parents’ plans until age 26. 

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Pages

Report | OSPIRG Foundation | Health Care

Comments on Providence Health Plan's proposal to raise individual health insurance rates

Providence Health Plan’s 105,406 members with individual health insurance plans will see rate hikes of 29.6% on average, and as high as 72.3%, if the premium rate hike proposed by Providence goes forward. At the same time, the insurer is planning to scale back its service area drastically and no longer offer its plans in many regions of Oregon.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on Kaiser Foundation Health Plan of the Northwest's proposal to raise individual health insurance rates

Kaiser Foundation Health Plan of the Northwest’s 26,014 members with individual health insurance plans will see rate hikes of 14.5% on average, and as high as 22.05%, if the premium rate hike proposed by Kaiser goes forward.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on Regence BlueCross BlueShield's proposal to raise individual health insurance rates

Regence BlueCross BlueShield’s 14,811 members with individual health insurance plans will see rate hikes of 17.9% on average, and as high as 36.1%, if the premium rate hike proposed by Regence goes forward.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on Moda Health Plan's proposal to raise individual health insurance rates

Moda Health Plan’s 58,280 members with individual health insurance plans will see rate hikes of 32.3% on average, and as high as 84.2%,if the premium rate hike proposed by Moda goes forward.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on PacificSource Health Plans' proposal to raise individual health insurance rates

PacificSource Health Plans’ members with individual health insurance plans will see rate hikes of 15.2% on average, and as high as 25%, if the premium rate hike proposed by PacificSource goes forward. At the same time, the insurer is planning to scale back its service area drastically and no longer offer its plans in many regions of Oregon.

> Keep Reading

Pages

Blog Post | Health Care

Open enrollment for 2017: What you need to know | Jesse Ellis O'Brien

It’s that time again: Time to enroll in health insurance for 2017. Here’s our guide to Oregon’s open enrollment period, which starts November 1.

> Keep Reading
Blog Post | Health Care

The Last Word on Oregon’s 2017 Health Insurance Rates and Coverage Options | Jesse Ellis O'Brien

An update on the latest developments with health insurance rates for 2017 and what they mean for the future of healthcare in our state.

> Keep Reading
Blog Post | Health Care

Oregon awarded a “B” on health care price transparency—but the state is still failing consumers | Jesse Ellis O'Brien

OSPIRG has been pushing for years to increase access to accurate, actionable health care price information for Oregon consumers. So you’d think we would be celebrating when a national scorecard from the transparency advocates at Catalyst for Payment Reform recently gave Oregon a “B” rating—up from an “F” in every prior year—for progress toward making price information more widely available. Unfortunately, there’s much less here than meets the eye.

> Keep Reading
Blog Post | Health Care

Proposed Health Insurance Rates for 2017: What You Need to Know | Jesse Ellis O'Brien

Here’s the skinny on OSPIRG Foundation’s new analysis of 2017 rates proposed by five Oregon insurers—Kaiser, Moda, PacificSource, Providence and Regence. There’s some good news, some concerning news, and some very concerning news, but the best news of all is that thanks to Oregon’s health insurance rate review process, the insurers don’t get the last word.

> Keep Reading
Blog Post | Health Care

New data on health care prices raises questions for policymakers | Jesse Ellis O'Brien

A New York Times report released yesterday put the spotlight on health care prices. We all know that health care still costs too much, but too often, we have little information about how much it does cost and why.

> Keep Reading

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