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slowhand
02-10-2010, 07:11 PM
Anthem Blue Cross asked to explain 39 percent premium increase

February 09, 2010 | Chelsey Ledue, Associate Editor


WASHINGTON – Health and Human Services Secretary Kathleen Sebelius has asked Anthem Blue Cross to publicly justify an increase in their monthly premiums by up to 39 percent for Californian customers.

“These extraordinary increases are up to 15 times faster than inflation and threaten to make healthcare unaffordable for hundreds of thousands of Californians, many of whom are already struggling to make ends meet in a difficult economy,” Sebelius said in a letter issued Monday.

“Your company's strong financial position makes these rate increases even more difficult to understand,” she wrote in the letter to Leslie Margolin, Anthem's president. “As you know, your parent company, WellPoint Incorporated, has seen its profits soar, earning $2.7 billion in the last quarter of 2009 alone.”

“I believe Anthem Blue Cross has a responsibility to provide a detailed justification for these rate increases to the public,” Sebelius wrote. “Additionally, you should make public information on the percent of your individual market premiums that is used for medical care versus the percent that is used for administrative costs. Policy holders in the individual market deserve to know if their premium increases would be invested in better medical care or insurance company overhead costs like salaries, profits, and advertising.”

“At a time when healthcare costs are a critical threat to families as well as the nation's economy, I hope you appreciate the urgent nature of this request. I look forward to your prompt reply,” the letter concluded.

Anthem Blue Cross has responded to media inquiries, saying that the company will reply to Sebelius promptly.

Anthem notes that individual medical insurance premiums do not reflect an individual member's personal claims experience; therefore, as medical costs increase across member population, premium increases to the entire membership pool result.

“Unfortunately, in the weak economy many people who do not have health conditions are foregoing buying insurance,” said Anthem. “This leaves fewer people, often with significantly greater medical needs, in the insured pool.”

“We regret the impact this has on our members,” said Anthem. “It highlights, why we need sustainable healthcare reform to manage the steadily rising costs of hospitals, drugs and doctors.”

The company is engaging with a broad range of key stakeholders across California to discuss the state's individual insurance market and share ideas on how to collectively partner on meaningful change.

David Lyle Segal
02-10-2010, 07:46 PM
“Unfortunately, in the weak economy many people who do not have health conditions are foregoing buying insurance,” said Anthem. “This leaves fewer people, often with significantly greater medical needs, in the insured pool.”

If there was ever a compelling argument for the Congress to pass national option (expanding Medicare is my preference), this is it. If a company that earned almost $3 billion in the last quarter can't afford to carry the policyholders who have stuck to it, then by all means, let's spread the risk (and cost) over a greater population to recapture the healthy people who have come to realize that Anthem is nothing but a robber-baron.

David Segal

Hawkeye2j
02-10-2010, 09:33 PM
David you are absolutely right.

MintJulep
02-10-2010, 09:35 PM
If there was ever a compelling argument for the Congress to pass national option (expanding Medicare is my preference), this is it. If a company that earned almost $3 billion in the last quarter can't afford to carry the policyholders who have stuck to it, then by all means, let's spread the risk (and cost) over a greater population to recapture the healthy people who have come to realize that Anthem is nothing but a robber-baron.

David SegalFifteen million people are unemployed and fifteen million have dropped off the insurance rolls. There is no way to pay claims if there are no premiums are coming in. It's common sense.

The only robber barons are the crooks in WA wanting to shove CommieCare down our throats.

Revere
02-10-2010, 09:37 PM
Profit margins for health insurance companies are in the low single digits. Government's only solutions are price controls, which are the same as government imposed rationing and shortages.

Just because government says someone can't charge x, doesn't make it so..

Think subprime for health insurance.

doctordog
02-10-2010, 09:39 PM
Fifteen million people are unemployed and fifteen million have dropped off the insurance rolls. There is no way to pay claims if there are no premiums are coming in. It's common sense.

The only robber barons are the crooks in WA wanting to shove CommieCare down our throats.

Not to mention the increased cost of doing business because it is CALIFORNIA.

Revere
02-10-2010, 09:41 PM
Not to mention the increased cost of doing business because it is CALIFORNIA.

That's right. The state mandates benefits. The only way costs can be dropped is to reduce coverages.

Revere
02-10-2010, 09:43 PM
Government's plan to nationalize student loans includes capping loan paybacks based on income, essentially making it an entitlement.

The taxpayers get socked for the difference.

Think subprime mess.

Revere
02-10-2010, 09:48 PM
Medicare is insolvent. Social Security is insolvent. Do we need one more fiscally doomed entitlement?

slowhand
02-10-2010, 10:09 PM
Fifteen million people are unemployed and fifteen million have dropped off the insurance rolls. There is no way to pay claims if there are no premiums are coming in. It's common sense.

The only robber barons are the crooks in WA wanting to shove CommieCare down our throats.

When ppl cant afford the insurance, which a 39% increase sorta-kinda borders on insanity BTW, two things will happen..We will have more uninsured, and the insurance companies will meet their demise by pricing themselves out of business

GetAClue
02-11-2010, 03:36 PM
When ppl cant afford the insurance, which a 39% increase sorta-kinda borders on insanity BTW, two things will happen..We will have more uninsured, and the insurance companies will meet their demise by pricing themselves out of business
So why then are you so upset about it? Let them price themselves out of business then. It's called Free Market Capitalism following the laws of Supply and Demand. If demand drops below the level of supply, prices will be forced down. But asking the government to step in and impose their will on the company will do one of two things. Reduce coverage and benifits or drive the company out of the market. Either way, the customer suffers along with the tax payer.

slowhand
02-11-2010, 05:42 PM
So why then are you so upset about it? Let them price themselves out of business then. It's called Free Market Capitalism following the laws of Supply and Demand. If demand drops below the level of supply, prices will be forced down. But asking the government to step in and impose their will on the company will do one of two things. Reduce coverage and benifits or drive the company out of the market. Either way, the customer suffers along with the tax payer.

Why do I get upset?..Im thinking, maybe someone who worked all their life, can lose everything if they cant afford the high price of health insurance, maybe because they lost thier job, or whatever the case might be..Anything can happen to anyone at anytime..Like these people in this video

In Rhode Island, the only health insurance available to us is Blue Cross, and they just proposed a double digit rate increase in premiums..So that means either pay, or go without..

Im upset because maybe I care more about people than I do about fucking capitaism

Does that answer your question?


http://www2.turnto10.com/jar/news/local/article/woman_copes_with_year_of_unemployment/31297/

Revere
02-11-2010, 06:44 PM
In Rhode Island, the only health insurance available to us is Blue Cross, and they just proposed a double digit rate increase in premiums..So that means either pay, or go without..


Because your insurance commissioner, government, made it that way.

slowhand
02-11-2010, 08:41 PM
Because your insurance commissioner, government, made it that way.

We had a couple of other healthcare insurance companies here, but they moved out years ago, because they were losing money..Blue Cross is the only company available

Revere
02-11-2010, 11:03 PM
We had a couple of other healthcare insurance companies here, but they moved out years ago, because they were losing money..Blue Cross is the only company available

Because government forced them to include benefits in their policies they could remain competitive doing so.

It's not government's place to create situations where legitimate businesses can no longer make money.

So you have your single payer system. Careful what you wish for. How is that working out?

slowhand
02-11-2010, 11:51 PM
Because government forced them to include benefits in their policies they could remain competitive doing so.

It's not government's place to create situations where legitimate businesses can no longer make money.

The govt of Rhode Island didnt force them to do shit..This was years ago when healthcare was cheaper and actually covered stuff

So you have your single payer system. Careful what you wish for. How is that working out?

In Rhode Island its not single payer..Its only payer, as in, theres only one healthcare insurance company to pay premiums to

I have Medicare, and its alot better than that $3,000 deductable Blue Cross plan I had 4 years ago before I got disabled