IBJNews

WellPoint draws criticism for California rate increase

Back to TopCommentsE-mailPrint

WellPoint Inc.’s plan to raise the rates that small employers in California pay for medical insurance was criticized as unreasonable by the state insurance commissioner, who said customers are being charged this year to cover U.S. health-law fees that won’t begin until 2014.

WellPoint’s Anthem Blue Cross unit in California is raising those rates an average of 10.6 percent, Insurance Commissioner Dave Jones said Tuesday at a news conference. Indianapolis-based WellPoint sells small group policies that cover 284,000 California employees, including 54,000 whose policies will renew this month and would immediately be affected, he said.

WellPoint overstated future medical use and cost trends and shouldn’t have included next year’s fees as justification for the increase, Jones said. The commissioner provided his findings last month to the insurer, which plans to proceed with the rate increase. WellPoint’s proposed 39-percent rate increase in 2010 was criticized by politicians and advocates, who said it spurred support for President Barack Obama’s Affordable Care Act.

“Anthem Blue Cross’s return on equity or profit has been and continues to be excessive,” Jones said.

Anthem Blue Cross said rates will go up an average of 6.5 percent and the increase is lower than not-for-profit competitors.

“The rate increases in the small group market are not unique to Anthem Blue Cross, but rather represent an economic reality faced throughout the entire industry as health-care costs continue to escalate faster than our state’s economy as a whole,” Kristin Binns, a WellPoint spokeswoman, said in an e-mail.

WellPoint, the second-biggest U.S. health insurer by market value, reported gross profit of $13 billion in 2011, or about 21 percent of revenue, according to data compiled by Bloomberg. The company owns Blue Cross plans in 14 states. UnitedHealth Group Inc., based in Minnetonka, Minn., is WellPoint’s larger competitor.

WellPoint shares were up $1.06 Wednesday morning, to $61.12 per share, an increase of 1.8 percent.

The 2010 health law will impose a sales tax on insurers that starts at $8 billion in 2014.

California’s insurance commissioner can only review rate increases and doesn’t have the authority to stop those deemed excessive. Jones said 37 states have the power to halt unreasonable rate increases.

Aetna Inc. CEO Mark Bertolini said last month that health insurance premiums may as much as double for some small businesses and individual buyers next year. The Affordable Care Act is expected to extend health coverage to about 30 million people who otherwise couldn’t get insurance, partly paid for by new taxes and fees on health-care companies.

Around the country, Aetna, UnitedHealth, Centene Corp. and other health insurers have proposed large increases on small businesses and individual buyers in recent months, citing rising costs for medical care and greater requirements of the health-care law. The Obama administration has said provisions in the law have kept increases from being even higher.

In other WellPoint news, the company confirmed that it still expects to name a new chief executive officer this quarter, said interim chief John Cannon.

Cannon said a CEO would be named “hopefully sooner rather than later.” He spoke at a health-care conference in San Francisco sponsored by JPMorgan Chase & Co.

Cannon has served as the interim head of the Indianapolis-based company since the departure of Angela Braly in August. He said in October that the search for her replacement might stretch into this quarter.
 

ADVERTISEMENT

Post a comment to this story

COMMENTS POLICY
We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
 
You are legally responsible for what you post and your anonymity is not guaranteed.
 
Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in IBJ editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
 
No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
 
We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.
 

Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

Sponsored by
ADVERTISEMENT

facebook - twitter on Facebook & Twitter

Follow on TwitterFollow IBJ on Facebook:
Follow on TwitterFollow IBJ's Tweets on these topics:
 
Subscribe to IBJ
  1. Good ole' Obamacare. Thanks liberals and those who didn't bother to vote.

  2. Yes. Blame those who were too lazy to go vote Obama out and those who voted him in again. That's my take on it. I know folks won't get it on the left. OK. Start berating me now!

  3. Serioulsy, people are AGINST this project? Most communities would be salivating over a project like this. You'd rather have an empty eye-sore gas station and shacks posing as apartments? This project is exactly what BR needs. BUILD IT MR MAYOR. And yes, I am a BR resident, and have been for 20 years.

  4. As a St. Vincent employee of over 20 years, I am saddened and disheartened by this announcement. Unfortunately, as the healthcare "industry" continues on this political and corporate path, all that St. Vincent Hospital has stood for spiritually for its employees and this community is being sucked dry. I know it truly has no choice. It is not just Obamacare or just competition or just any single thing. This trend started long before I was even born when the government became involved in healthcare and it became an "industry." I grieve for those who will lose their jobs, one of whom may be me, but I also grieve for this hospital which I have served for over 20 years. May God give us and it the grace to withstand the future of healthcare.

  5. Why do people constantly harp on this issue and act ignorant about what a city population measures? A city's population is the city's population. There is no argument or debate about it. If you want to measure the density of a city--measure it. If you want to measure the size of a metropolitan area, then measure the metropolitan population. City boundaries cover different sized areas--and they always have (though the disparity has probably increased since about 1900 or so when more cities began annexing their surrounding communities). For example, San Francisco only covers 49 square miles while Houston cover nearly 600 square miles. No one argues about the population rankings of either city even though they clearly cover extremely different sized areas. Indianapolis is the 13 largest city by population in the U.S. That is a fact. While the population of a metropolitan area may give you a better sense of how large a community is, as noted, even metro areas can vary widely in the size of geographic area they cover--so that is not a perfect comparison either.

ADVERTISEMENT