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California OKs Anthem rate hike after controversy

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State regulators have accepted rate hikes on individual Anthem Blue Cross health insurance policies after public outrage and government scrutiny halted a larger increase.

The California Department of Insurance said Wednesday it approved a rate increase averaging about 14 percent for Anthem Blue Cross customers. The department also approved a nearly 19-percent increase for Blue Shield of California.

Anthem, a subsidiary of Indianapolis-based Wellpoint Inc. and the California's largest for-profit insurer, had previously requested a boost that would have raised rates as much as 39 percent for some customers, with average increases of about 25 percent.

But regulators found accounting errors in the proposal and Anthem retracted the filing, which would have affected about 700,000 individual policies regulated by the commissioner. Another 100,000 individual policies are regulated by the state's other insurance regulator, the Department of Managed Healthcare.

Anthem's rate hike was repeatedly criticized by President Barack Obama as an example of a broken health care system in the run-up to the vote on federal health care reform.

The smaller increase announced Wednesday was expected to save consumers $184 million, Department of Insurance spokesman Ioannis Kazanis said.

Anthem spokeswoman Kristin Binns said in a written statement the company "is pleased that the department has posed no objections to our individual rate filings and we look forward to continuing to serve consumers in California."

Not-for-profit insurer Blue Shield of California's rate hike will affect more than 247,000 policyholders.

"We wish it were a much smaller increase, but this is unfortunately what we're paying out to hospitals, doctors and pharmaceutical companies to pay the cost of the claims of these members," said Tom Epstein, spokesman for Blue Shield.

Insurance Commissioner Steve Poizner instituted independent reviews of the top four insurers in the state in June to help keep the companies in line with California law mandating 70 percent of income be used for medical treatment of policyholders.

The rate hikes by Anthem and Blue Shield underwent independent reviews that were released Wednesday and found the two major insurers to be in compliance with the law.

Anthony Wright, executive director of Health Access, a not-for-profit advocacy group for consumers, said state regulators need better control over the rate hike approval process. Two bills currently being considered by the Legislature — AB2578 and SB1163 — would strengthen the authority of insurance regulators, he said.

"The fact that Anthem had to pull back and reduce their rate hike shows that public oversight can work, but we're not going to have the presidential spotlight on every future rate increase," Wright said.

Providers must give 30 days notice to policyholders before increasing rates.

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  • Because they are the only bad guys
    Hector - go survey the hospitals and doctors in California and across this country if they see double digit reimbursement increases annually. If any hospital is in the press for getting such an increase in one year it is going to be because the insurance company did not give them any increases for multiple years prior to that.
  • Why the only bad guy?
    Why do only the ones paying for the skyward costs of health care - the insurance companies - get scalded when the raise their prices?

    What about the doctors, hospitals, etc.? Why do they get a free pass when they jack up their rates?

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