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. By carefully scrutinizing rate hike proposals for things like administrative bloat, we’ve already helped cut over 150 million dollars from proposed rate increases 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. [4] 

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!

**********

[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, July 2013, Accountability in Action.

[4] See here for an example of a clinic in Oregon that is doing this the right way.

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

Report | OSPIRG Foundation | Health Care

Comments on Providence Health Plans Proposal to Increase Individual Health Insurance Rates

More than 12,000 Oregonians with individual health insurance plans will see rate hikes of 15.7% on average, and as high as 18.6%, if the premium rate hike proposed by Providence Health Plans goes forward. OSPIRG Foundation's analysis raises questions about the insurer's justification for the rate increase.

> Keep Reading
News Release | OSPIRG Foundation | Health Care

Regence Rate Hike Not Justified

Regence BlueCross BlueShield of Oregon’s proposal to raise rates for Oregonians with individual health insurance plans does not measure up, according to a new OSPIRG Foundation analysis.

> Keep Reading
Report | OSPIRG Foundation | Health Care

Comments on Regence BlueCross BlueShield's Proposal to Increase Individual Health Insurance Rates

More than 52,000 Oregonians with individual health insurance plans will see rate hikes of 9.6% on average, and as high as 16.4%, if the premium rate hike proposed by Regence BlueCross BlueShield of Oregon goes forward.

OSPIRG Foundation's analysis finds problems and information gaps in the insurer's filing.

> Keep Reading
Blog Post | Health Care

A wake-up call on health insurance costs | Jesse Ellis O'Brien

Governor Kitzhaber’s office just released a report that should serve as a wake-up call for everyone in Oregon who is affected by the rising cost of health insurance.

This report just underlines what we’ve been saying all along—that it’s time to get serious about the cost of health care.

> Keep Reading
Media Hit | Health Care

Regence BlueCross BlueShield defends proposed rate hike at Salem hearing

Escalating medical and prescription drug costs have given Regence BlueCross BlueShield executives little choice but to raise rates an average 9.6 percent for people who buy their own insurance, an executive told Oregon insurance regulators Monday.

Jesse Ellis O'Brien of the OSPIRG Foundation said Oregonians will face less choice and more costs as a result of the proposal.

> Keep Reading

Pages

Media Hit | Health Care

Consumers deserve a voice on insurance rate increases

Can Regence justify its rate hike? A public hearing will shine needed light

> Keep Reading
Media Hit | Health Care

How the Oregon House can help our state's small businesses

I own a small business in Sunriver and have driven to Salem many times over the years to provide state officials with a small-business perspective about Oregon's health insurance exchange. Those trips weren't convenient, but I did it because the exchange is so important to small businesses like mine.

> Keep Reading
News Release | OSPIRG Foundation | Health Care

Regence Rate Hike Could Hit 25% for Some Businesses

According to a new analysis conducted by OSPIRG Foundation’s Health Insurance Rate Watch project, Regence has more work to do to justify their pending rate hike.

> Keep Reading
News Release | OSPIRG | Health Care

Bill May Bar Exchange from Negotiating Lower Costs

Consumer advocates and small business owners say that without changes, the bill to create an Oregon health insurance exchange may fail to deliver lower costs for Oregonians.

> Keep Reading
News Release | OSPIRG Foundation | Health Care

Effective Health Exchange Key to Lower Costs

Oregon policy-makers can address rising health care costs by implementing an effective health insurance exchange, according to a new policy brief released today by consumer advocacy group OSPIRG.

> Keep Reading

Pages

View AllRSS Feed

PRIORITY ACTION

Tell the Governor: Hold insurers accountable for cutting waste and prioritizing prevention. 

Support Us

Your donation supports OSPIRG’s work to stand up for consumers on the issues that matter, especially when powerful interests are blocking progress.

Consumer Alerts

Join our network and stay up to date on our campaigns, get important consumer updates, and take action on critical issues.