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

The Whole Shebang at a Glance: Proposed Health Insurance Rates for 2015 | Jesse Ellis O'Brien

Here’s the skinny on OSPIRG Foundation’s new analysis of 2015 rates proposed by four Oregon insurers—Moda, PacificSource, United and Health Net. 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
Report | OSPIRG Foundation | Health Care

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

Moda Health Plan’s membership of more than 95,000 Oregonians with individual health insurance plans will see double-digit rate hikes of 12.5% on average, and as high as 13.7%, if the premium rate hike proposed by Moda goes forward.

> Keep Reading
Report | OSPIRG Foundation | Health Care

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

Most of PacificSource Health Plan’s customer base of more than 12,000 Oregonians with individual health insurance plans will see double-digit rate hikes if the premium rate hike proposed by PacificSource goes forward. Had the rate been approved as initially filed, PacificSource’s members would have seen increases of 15.9% on average, ranging as high as 24%. However, shortly after filing, the insurer announced that the initial rate proposal had incorporated a major error, and proposed a new, lower average rate increase of 10.8%, ranging as high as 18.7%.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on UnitedHealthcare Insurance Company's proposal to increase small group health insurance rates

Most of UnitedHealthcare Insurance Company’s almost 17,000 small group members, from over 1,300 small businesses across Oregon, will see rate increases of 11.8% on average, and as high as 19.2%, if the premium rate hike proposed by United is approved.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on Health Net's proposal to increase individual health insurance rates

Health Net’s individual members will see an increase of 8.3% on average, ranging as high as 10% for some customers, if the premium rate hike proposed by the insurer is approved.

> Keep Reading

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News Release | OSPIRG | Health Care

Oregon's Health Exchange Law Gets a B-

Oregon’s health insurance exchange has opportunities to do more to help consumers and small businesses hit with high health care costs, according to a new study.

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News Release | OSPIRG Foundation | Health Care

ODS Rate Hike Nudged Down to 8.94%

Officials at the Oregon Department of Consumer and Business Services (DCBS) announced approval of an of an 8.94% rate increase on ODS individual policies, down one percentage point from the proposed 9.94% average rate hike.

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Media Hit | Health Care

Oregon Eyes Insurance Rate Increase

SALEM, Ore. - Customers of one of Oregon's largest health insurance companies may see a large rate increase soon. State insurance regulators held a rare public hearing Wednesday on the request by ODS Health Plan to hike its rates an average of 10 percent.

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News Release | OSPIRG Foundation | Health Care

Analysis of Proposed 9.94% ODS Health Plan Rate Hike

ODS Health Plan will defend its proposal to raise rates nearly 10% on over 26,000 Oregonians at a public hearing today in Salem. The increase comes after two back-to-back years of increases exceeding 17%. If approved, the average rate will have soared 52% for individual policyholders over the last three years.

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Media Hit | Health Care

Testing a new reflex on health care

Earlier this year, Regence BlueCross BlueShield of Oregon found itself under a powerful spotlight. At a public hearing -- the first such hearing in more than two decades -- Regence had to justify its 22.1 percent rate increase request to state regulators, as well as to the more than 150 Oregonians in attendance.

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Pages

Report | OSPIRG Foundation | Health Care

More For Your Money

The Oregon Health Fund Board's draft plan's consumer-friendly cost containment provisions have the potential to cut health care costs an estimated $5.4 billion over ten years.

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