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Jamie Court

Jamie Court

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Will Black Sheep Blue Shield Bring Down American Health Insurance?

Posted: 01/28/11 09:03 AM ET

California Insurance Commissioner Dave Jones may have just assured Blue Shield its place as the worst health insurance company in America. He's gotten every other health insurance company in California to hold off on rate increases.

A black sheep among black sheep is how Blue Shield and its CEO Bruce Bodaken will be remembered if they don't budge from their pledge to raise rates as much as 59 percent on some Californians on March 1. The drama playing out in California is being watched on the national stage. With consumers ready to turn their pitchforks on Blue Shield, the recalcitrant insurer could become the unwitting hero of a movement to further regulation and restore the public option to the private market in California and states across America.

When Anthem Blue Cross tried to raise rates as much as 39 percent on Californians last year, the outrage gave President Obama the ammunition to pass federal health reform, even though the bill did nothing to stop rate increases.  Now Blue Shield is giving California reformers the ammo to go to the legislature and the ballot box for proposals that give regulators the power to say no to premium increases and to create a public insurance option in California. What starts here will spread.

Only Blue Shield could make Anthem Blue Cross look like a patriot.

Here's what Insurance Commissioner Jones had to say:

I am pleased that Aetna, Anthem Blue Cross and PacifiCare have agreed to my request that they halt the implementation of their rate increases until the Department of Insurance has adequate time to review their recent rate filings. I am very concerned about the impact premium increases will have on policyholders, so I want to ensure that the Department has adequate time to review these rate filings for compliance with the law. Blue Shield policyholders will not have the benefit of this additional review period to ensure compliance with the law, but I will do what is within my power to determine whether Blue Shield’s proposed rates are in compliance with the law and to enforce that law.

The question for Blue Shield is what does it have to hide? Apparently a lot. 

That's why Consumer Watchdog called last week for disclosure about how much Blue Shield CEO Bruce Bodaken makes, why Blue Shield is keeping 12 times the required amount of surplus, and supporting evidence for its claims that medical costs are going through the roof. Every other health insurance company discloses its CEO's salary. Apparently Blue Shield is a strong believer in its exceptionalism.

Where there is smoke there is usually fire. Blue Shield is becoming the poster child for everything we hate about health insurance companies.  It better rethink it's positions and give its customers a break or it may find that its arrogance will be its downfall.

If you are angry, you can join me, betrayed Blue Shield patients and the California Nurses Association leaders at Blue Shield headquarters in San Fransisco next Tuesday for a good old fashioned pitchfork protest.

Tuesday, Feb. 1, 11:00 a.m.
WHERE: Blue Shield San Francisco HQ, 50 Beale St.
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Jamie Court is president of Consumer Watchdog and author of The Progressive's Guide To Raising Hell.

 

Follow Jamie Court on Twitter: www.twitter.com/RaisingHellNow

 
 
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This user has chosen to opt out of the Badges program
10:16 PM on 02/03/2011
In California people in higher age brackets who have paid their individual plans with high deductibles for many years and who never get anywhere near their deductible now have to choose between the insurance premium and the mortgage payment. They would rather have govt run healthcare than nothing now and it has come down to that.

People need health insurance they can afford now, not four years from now. Long term unemployed, recently unemployed, employed with no benefits, part time employed, self-employed, full time caregivers. The ranks are growing like a virus. Those who have benefits from their employer (for how long) can't afford it either and employers can't afford it and lay off people. Time to end the misery and the nonsense.

Can California or other states pass single payer right now? Is it possible? There is no time to wait for BShield or politcians. The majority of people want this now.

And it isn't free market. You are a slave paying into your plan in the best health tier in an individual policy forever. If you wish to go to another company, you can be perfectly healthy and still have been treated or consulted for anything that puts you in a higher health tier with another company even with a higher deductible. You are stuck and have to pay whatever they want forever. Paying doctors directly instead of monthly premiums would save many healthy people thousands per year. What is wrong with that picture?
HUFFPOST SUPER USER
nkurland
I'm going to leave this planet alive
10:53 PM on 02/02/2011
Screw the public option. Pass the single payer bill vetoed twice by Schwarzenegger.
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HUFFPOST SUPER USER
Jeannette Lacey
11:47 PM on 01/31/2011
I wish I could be at the protest. Instead, I signed a petition that is going to Blue Shield. WE NEED A PUBLIC OPTION NOW!!!!!!!!!!!!!!
HUFFPOST SUPER USER
demar
11:45 PM on 01/29/2011
It is time for a Mubarak moment.
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bart4u
Concerned Citizen
11:01 PM on 01/29/2011
Cigna just quoted me a rate for their HMO in Los Angeles for 21,500.00 per year. This is a group rate through my artist organization I am with. What a joke our health care system is here. You Tea Baggers are so uneducated and your an embarrassment. National health care is needed NOW.
This user has chosen to opt out of the Badges program
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09:13 PM on 01/30/2011
"You Tea Baggers are so uneducated and your an embarrassm­ent."

Classic.
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Jeannette Lacey
11:48 PM on 01/31/2011
bart4u, you have my deepest sympathies. That price is a sin.
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1logicalthinker
with occasional humorous overtones :)
08:23 PM on 01/29/2011
Jamie,
I read your excellent book, "The Progressive's Guide to Raising Hell." It is a great read and a very useful tool. learned a lot from it. Thanks for inspiring us and for constantly fighting the "good fight" for those who are unable to fight.
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HUFFPOST SUPER USER
mountainweb
Conservative Commonsense
04:37 PM on 01/29/2011
The weak link in Obamacare, the insurance companies ALL have the right to screw the customers, so in theory, more people have access to health care, but the insurance companies will raise to cost so that they cannot afford it...
03:14 AM on 02/02/2011
Worse, taxpayers will be kicking in for folks who make even lower middle class salary. It's a big scam to give even more to the insurance companies while they nickel and dime the real providers of care. It's time for Medicare for all.
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La Bennett
11:21 AM on 01/29/2011
I cannot remember exactly when it was, but the laws were changed allowing insurance companies to become for-profit. Until then they were under the non-profit banner. After that change is when rates skyrocketed, and the denials became more prevalent. What we need to do is re-instate the laws that were changed. At the time, it was argued that insurance would be better if it could be more competitive. I think we have seen the outcome of that. I am for single payer, and I am looking with glee to the self implosion of these companies.
One thing I believe ALL corporations, Wall-Street Elite, Politicians, and Lobbyists all need to keep in the forefront of their minds is what is happening today in Egypt. Sooner or later the people will get fed up. Let states blow their pension contracts, and see what happens.
In my daughters college textbook it said the most natural form of political participation, is uprising and unrest. I love my country, but am ashamed at many things at the same time. And I worry, for my children, and grandchild, that the uprising and unrest is not too far away. I wish peace would prevail, but when you read articles like this, and know that the bulk of those in DC support these companies, you can't help but wonder.....Sooner or later the people have to count.
12:12 PM on 01/29/2011
At some point too, a health "insurance" policy ceased to be a binding contract, one with clearly defined deliverables. Now, you sign up, pay your premium for years maybe, then when you are severely ill, you may or may not be covered according to your policy. The health care insurance companies can with seeming impunity refuse to pay or delay payment indefinitely. When was the last time you read of a court case involving insurance bad faith?
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Doug Watt
Not ready for 2012
01:08 PM on 01/30/2011
I think it was around 1998, that's when my health insurance premiums started climbing.
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Buckeye54
...the One your mom warned you about!
09:19 AM on 01/29/2011
Greedy corporations are like greedy politicians—they keep pushing and pushing the boundaries of acceptable (or legal) behavior until their actions are so egregious that either the law or the public steps in and puts a stop to their behavior.

Their greed is a type of bloodlust that inflames their senses and they lose what little common sense they ever had.

If the state of California creates a state-run single-payer insurance company, it will be the beginning of the end of for-profit insurance companies.
09:49 AM on 01/29/2011
California on one side and Vermont on the other side of the country. Both heading toward single payer systems. With any luck it will meet in the middle before I die and my son will benefit.
zanzy
your micro bio is empty, just like our democracy.
05:25 AM on 01/29/2011
I will support a public opinion in California--just give me the details and the organizations doing this work. We need to do this.
11:08 AM on 01/29/2011
Here are the options.
1) It will cost more money.
2) No private insurance company will bother ,because the actuarials the state offers and their own experts present will be so different
3)In case you hadn't noticed,California was reduced to issuing scrip last year (it didn't work). They'll have to do this again. (it still won't work.)
Smart People will leave California even more rapidly.
5) In terms of measurable effects,the average IQ of the state will fall,and the Democrat majority will increase.
6) Things will get worse.
Let's watch!
07:48 PM on 01/29/2011
It is an option.

Given a choice, YOU can continue to over pay for healthcare administration costs if you are happy with your health administration costs and others who are tired of over paying for health administration costs can give a public OPTION a try.

If government run health care administration like medicare is so bad, why are all the insurance companies advertising to select them for managing it? There's money to be made in managing health care administration and they can not get at it if you use government run Medicare.

I agree, put forth the option and let's watch.
This user has chosen to opt out of the Badges program
02:22 AM on 02/01/2011
Why would a public option cost more?

- Every public health system in the world is a MINIMUM of HALF the cost of the US system.

- The VA and Medicare have less than 5% overhead. That is, 95% of the money goes to patients. BUT ... with private health care, as much as 40% goes to overhead and profit.

- You are already paying, via taxes and excessive premiums, for the dysfunctional US health care system that costs over twice as much per capita as any other health care system on earth.

Public option in direct competition would be great because it would quickly drive the private health care into bankruptcy.
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Doug Watt
Not ready for 2012
01:15 PM on 01/30/2011
Here is California OneCare's website: http://californiaonecare.org/

The bill was passed in the legislature twice as SB810, but Schwarzenegger vetoed it both times. Hopefully Jerry Brown will pass it.
zanzy
your micro bio is empty, just like our democracy.
09:10 PM on 01/30/2011
Thanks Doug, I hope Jerry can do this. And, I didn't think it was possible for me to dislike Arnold more, but never underestimate Arnold's ability to fail Californians.
This user has chosen to opt out of the Badges program
04:53 AM on 01/29/2011
Since I believe in the "free market" and "competition," I think the state of California should start its own non-profit health care insurance company and sell to the public on the open market in direct competition to the private health care companies.

If it is true that competition and private company "innovation" is "better" than public services, this will dramatically prove or more likely disprove this.

Sure, the CA health care company would be able to draw on cheap state funding sources and would not have to make a profit, but supposedly if you listen to the people against Medicare and the VA, this shouldn't matter because for-profit companies are soooo much more efficient.

I suspect what would actually happen is the CA health care insurance system would be able to provide service equal to (or better to) the private companies for close to Meidcare rates if not close to non-US rates, driving the private health care companies into bankruptcy due to lack of profits.

I think it is time for all those that think private is so much better to put their beliefs to the test. lets see if the for (huge) profit health care can actually provide excellent service for lower costs than a public health care system (Medicare and VA have already shown NO, but lets give people a choice and see if they really want private health care versus public).
01:24 AM on 01/30/2011
At first, Imthought the ghost of Mark Twain ,or Jonathan Swift had written a subtly clever post ,but on re reading I realized someone actually thinks the 9chuckle) state of California has access to cheap funding. I wonder if you realize bankrupt entities have trouble getting low rates (or any rates) in the bond market. You guys are cutting Medicaid visits. You guys have a college bureaucracy that's so bloated tuition has skyrocket 42 % this year.And, I don't know anyone who thinks the VA is cost effective . Or good.Or adequate.
When you say,"I suspect",can you tell me why your expertise leads to this? Some of us who are , um ...doctors are curious.
This user has chosen to opt out of the Badges program
02:49 PM on 01/31/2011
The state of CA generally has access to cheaper funding than commercial companies because it can sell muni bonds.

The CA universities may be somewhat bloated, but then again so are private universities.

As for the VA, the financial data is readily available as well as the analysis that it is more cost effective than Medicare, which are both much more effective than private companies . Both are still more expensive than non-US health care systems. The VA and Medicare systems both get high marks from their users.

That is why the older Tea Party folks are so adamant that the US government keep its hands off their Medicare.
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Doug Watt
Not ready for 2012
11:50 PM on 01/30/2011
Well said, any mouse. There is a single payer plan that passed the legislature twice, but was vetoed twice by Schwarzenegger. Hopefully, they can pass it a third time: http://californiaonecare.org/
04:45 AM on 01/29/2011
ask europe about single payer.
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TheIndependenceParty
Cranky yankee and a rehabilitated ex-Republican
12:14 PM on 01/29/2011
WE did, ... They love it!
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1logicalthinker
with occasional humorous overtones :)
01:04 AM on 01/30/2011
Canada, too :)
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HUFFPOST SUPER USER
andthatsnotall
This is karma & yes she is...
05:38 PM on 02/04/2011
My friend in England pays 150 pounds for an entire year of health coverage. That covers her drs visits, any medical procedures, operations, xrays, etc. A single dr's visit in the U.S. can cost $200 dollars not including any prescriptions, tests or special procedures.

Isn't it time we realized the health insurance companies are really just a big old scam? People are dying, right here and now, in our country because they can't afford to seek medical help. While our politicians have the best FREE FOR THEM medical coverage in the country that our tax money can buy - which also covers their families and their gov't workers/aides - they have no interest or desire to get medical coverage for the rest of the country. Afterall, they got theirs. To heck with us.
04:42 AM on 01/29/2011
goverment is the problem,not the answer.
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TheIndependenceParty
Cranky yankee and a rehabilitated ex-Republican
12:14 PM on 01/29/2011
No government is not an answer at all!
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bart4u
Concerned Citizen
11:03 PM on 01/29/2011
That is the problem we have no government regulations to rate hikes. It is much needed and the only answer we have right now.
04:41 AM on 01/29/2011
healthcare reform is the reason for rate hikes.
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HUFFPOST SUPER USER
TheIndependenceParty
Cranky yankee and a rehabilitated ex-Republican
12:14 PM on 01/29/2011
Unbridled greed is the reason for the hikes.
05:12 PM on 01/29/2011
Could you be a little specific? Who's 'unbridled" -as opposed, I guess to "bridled" greed?
How is it causing tax hikes?
I don't know if you ever saw "The Underwear Troll" episode on the Simpsons.
"The Underwear Trolls" are responsible for misssng underwear. The business model is :
Step 1 Steal underwear
Step 3.Make lots of money. It's a little unclear on the link between steps 1 and 3.So,...if you could?
SIncerely yours
Corwin.A guy with a really high Iq who tries to help
10:03 PM on 01/29/2011
and what was the the reason last year, and the year before, and the year before etc..? They raise the rates because they can..
02:32 AM on 01/29/2011
Having to pay increasingly inflated health insurance premiums to Anthem Blue Cross was a key factor in my decision to exercise my dual nationality option and relocate to British Columbia. I am extremely pleased that I made the move, particularly in light of the disappointing fact that excesses of the Bush regime have been continued and rendered "bipartisan" by the Obama regime