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"content": "\u003cfigure id=\"attachment_21011\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/PhotoAnne-e1408992079757.jpg\">\u003cimg class=\"size-large wp-image-21011\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/PhotoAnne-640x478.jpg\" alt=\"Anne-Louise Vernon in front of her home in Campbell. (Photo: Pauline Bartolone)\" width=\"640\" height=\"478\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Anne-Louise Vernon in front of her home in Campbell. She recently enrolled in Medi-Cal then found out the state could use proceeds from her home to recover costs of her health care. (Photo: Pauline Bartolone)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Pauline Bartolone,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/August/28/Calif-Bill-Would-Protect-Estates-Of-Many-Receiving-Medicaid-Services.aspx\" target=\"_blank\">\u003cb>Kaiser Health News\u003c/b>\u003c/a>\u003c/p>\n\u003cp>Anne-Louise Vernon had been looking forward to signing up for health insurance under Covered California. She was hoping to save hundreds of dollars a month. But when she called to enroll, she was told her income wasn’t high enough to purchase a subsidized plan.\u003c/p>\n\u003cp>“It never even occurred to me I might be on Medi-Cal,\" she said, in reference to the state's version of Medicaid, \"and I didn’t know anything about it.\"\u003c/p>\n\u003cp>She says she asked whether there were any strings attached.\u003c/p>\n\u003cp>\"And the woman said very cheerfully, \"Oh no, no, it’s all free. There's nothing you have to worry about, this is your lucky day.'” she recounts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Vernon signed up for Medi-Cal on the phone from her home in Campbell. But months later, she learned online about a state law that allows California to take assets of people who die if they received health care through Medi-Cal after the age of 55.\u003c!--more-->\u003c/p>\n\u003cp>“So I called Medi-Cal and asked specifically, 'Does this mean what I think it means?'” she says.\u003c/p>\n\u003cp>It means Medi-Cal managers can take part of her estate later for health care costs she’s accruing now. A \u003ca href=\"http://aspe.hhs.gov/daltcp/reports/estaterec.htm\" target=\"_blank\">1993 federal law \u003c/a>requires states to recoup Medicaid money spent on institutional care, such as nursing homes, and it gives states the option to recover all health costs from people 55 and over. California took that option.\u003c/p>\n\u003cp>Vernon says she’s panicked and worried. She doesn’t get a monthly bill –- so she’s not sure what she’ll be accountable for.\u003c/p>\n\u003cp>“I feel as though right now, if I could go to do the doctor and I felt I knew where I stood, there are a number of appointments that I’d be making right now,\" says Vernon. \"But I feel so unsettled about this whole estate recovery thing, that I’m afraid to go to the doctor.\"\u003c/p>\n\u003cp>The California law has now been on the books for two decades. Elizabeth Landsberg of the Western Center on Law and Poverty says it turns what was intended to be a safety net program into a long-term loan program. It undermines the security that families might pass on to the next generation.\u003c/p>\n\u003cp>“So in most cases it's modest family homes that we’re talking about, and so the state will most often come back and put a lien on that home, and unfortunately it does force the kids to sell the homes sometimes, ” says Landsberg.\u003c/p>\n\u003cp>Landsberg says the law is complicating Medi-Cal enrollment. Some people have refused to sign up, or have terminated enrollment for fear of losing their estate. She says it’s unfair because people buying insurance through Covered California aren’t subject to the same rules.\u003c/p>\n\u003cp>“For the first time people have to have health coverage. So it’s created an inequity where the lowest income people could lose their assets, and other higher income people who are also getting publicly-subsidized health coverage have no worries, ” says Landsberg.\u003c/p>\n\u003cp>Over the past 20 years, the state of California has recovered almost a billion dollars that paid for long-term care and basic health services through Medi-Cal.\u003c/p>\n\u003cp>Norman Williams of the California Department of Health Care Services says that’s just a very small fraction of the overall Medi-Cal budget during that time.\u003c/p>\n\u003cp>“The funds are collected and returned to the state general fund and along with federal matching funds, that’s used to provide care for members beyond what we have now,\" says Williams.\u003c/p>\n\u003cp>Williams says the average claim is about $95,000.\u003c/p>\n\u003cp>“But the average amount collected is about $15,000,\" he says. \"There are many exceptions available. Hardship exemptions for instance. If there are children who are living and under 21, there is no claim against the Medi-Cal member's estate.\"\u003c/p>\n\u003cp>A bill in the California legislature, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB1124\" target=\"_blank\">SB 1124\u003c/a>, would eliminate state recovery for basic Medi-Cal services for older Californians. It would also require the state to provide health claim information for free, so enrollees can keep track of their expenses.\u003c/p>\n\u003cp>That’s something Anne-Louise Vernon is advocating for.\u003c/p>\n\u003cp>“I don’t understand why someone my age, in my situation has been singled out to be a cash cow for the state of California, when this is not required by the federal government,” says Vernon.\u003c/p>\n\u003cp>If the measure is approved by lawmakers, it might have a tough time getting the governor’s signature. The California Department of Finance says it would remove $30 million in revenue that helps pay for the health care of other low-income Californians.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca style=\"font-size: medium\" href=\"http://www.canhr.org/factsheets/medi-cal_fs/html/fs_medcal_recovery_FAQ.htm\" target=\"_blank\">Medi-Cal Recovery FAQ\u003c/a> (California Advocates for Nursing Home Reform)\u003c/li>\n\u003cli>\u003ca style=\"font-size: medium\" href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/E/PDF%20EstateRecoveryMediCal.pdf\" target=\"_blank\">Estate Recovery Under Medi-Cal \u003c/a>(California HealthCare Foundation)\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Vernon signed up for Medi-Cal on the phone from her home in Campbell. But months later, she learned online about a state law that allows California to take assets of people who die if they received health care through Medi-Cal after the age of 55.\u003c!--more-->\u003c/p>\n\u003cp>“So I called Medi-Cal and asked specifically, 'Does this mean what I think it means?'” she says.\u003c/p>\n\u003cp>It means Medi-Cal managers can take part of her estate later for health care costs she’s accruing now. A \u003ca href=\"http://aspe.hhs.gov/daltcp/reports/estaterec.htm\" target=\"_blank\">1993 federal law \u003c/a>requires states to recoup Medicaid money spent on institutional care, such as nursing homes, and it gives states the option to recover all health costs from people 55 and over. California took that option.\u003c/p>\n\u003cp>Vernon says she’s panicked and worried. She doesn’t get a monthly bill –- so she’s not sure what she’ll be accountable for.\u003c/p>\n\u003cp>“I feel as though right now, if I could go to do the doctor and I felt I knew where I stood, there are a number of appointments that I’d be making right now,\" says Vernon. \"But I feel so unsettled about this whole estate recovery thing, that I’m afraid to go to the doctor.\"\u003c/p>\n\u003cp>The California law has now been on the books for two decades. Elizabeth Landsberg of the Western Center on Law and Poverty says it turns what was intended to be a safety net program into a long-term loan program. It undermines the security that families might pass on to the next generation.\u003c/p>\n\u003cp>“So in most cases it's modest family homes that we’re talking about, and so the state will most often come back and put a lien on that home, and unfortunately it does force the kids to sell the homes sometimes, ” says Landsberg.\u003c/p>\n\u003cp>Landsberg says the law is complicating Medi-Cal enrollment. Some people have refused to sign up, or have terminated enrollment for fear of losing their estate. She says it’s unfair because people buying insurance through Covered California aren’t subject to the same rules.\u003c/p>\n\u003cp>“For the first time people have to have health coverage. So it’s created an inequity where the lowest income people could lose their assets, and other higher income people who are also getting publicly-subsidized health coverage have no worries, ” says Landsberg.\u003c/p>\n\u003cp>Over the past 20 years, the state of California has recovered almost a billion dollars that paid for long-term care and basic health services through Medi-Cal.\u003c/p>\n\u003cp>Norman Williams of the California Department of Health Care Services says that’s just a very small fraction of the overall Medi-Cal budget during that time.\u003c/p>\n\u003cp>“The funds are collected and returned to the state general fund and along with federal matching funds, that’s used to provide care for members beyond what we have now,\" says Williams.\u003c/p>\n\u003cp>Williams says the average claim is about $95,000.\u003c/p>\n\u003cp>“But the average amount collected is about $15,000,\" he says. \"There are many exceptions available. Hardship exemptions for instance. If there are children who are living and under 21, there is no claim against the Medi-Cal member's estate.\"\u003c/p>\n\u003cp>A bill in the California legislature, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB1124\" target=\"_blank\">SB 1124\u003c/a>, would eliminate state recovery for basic Medi-Cal services for older Californians. It would also require the state to provide health claim information for free, so enrollees can keep track of their expenses.\u003c/p>\n\u003cp>That’s something Anne-Louise Vernon is advocating for.\u003c/p>\n\u003cp>“I don’t understand why someone my age, in my situation has been singled out to be a cash cow for the state of California, when this is not required by the federal government,” says Vernon.\u003c/p>\n\u003cp>If the measure is approved by lawmakers, it might have a tough time getting the governor’s signature. The California Department of Finance says it would remove $30 million in revenue that helps pay for the health care of other low-income Californians.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca style=\"font-size: medium\" href=\"http://www.canhr.org/factsheets/medi-cal_fs/html/fs_medcal_recovery_FAQ.htm\" target=\"_blank\">Medi-Cal Recovery FAQ\u003c/a> (California Advocates for Nursing Home Reform)\u003c/li>\n\u003cli>\u003ca style=\"font-size: medium\" href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/E/PDF%20EstateRecoveryMediCal.pdf\" target=\"_blank\">Estate Recovery Under Medi-Cal \u003c/a>(California HealthCare Foundation)\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Strong Support for Proposition 45 -- Tougher Rules on Health Insurance Rates",
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"content": "\u003cfigure id=\"attachment_14038\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328.jpg\">\u003cimg class=\"size-large wp-image-14038\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-620x356.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"356\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Helen Shen,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/August/20/california-survey-health-insurance-rates-and-prop-45.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>California voters are showing strong early support for a ballot initiative that would expand the state's authority to regulate health insurance rates.\u003c/p>\n\u003cp>Nearly 7 of every 10 respondents indicated that they would vote in favor of Proposition 45, while 16 percent would vote against it, according to a \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2478.pdf\" target=\"_blank\">Field poll\u003c/a> released Wednesday.\u003c/p>\n\u003cp>Proposition 45 would give California's insurance commissioner the power to veto excessive health insurance rate increases.\u003c/p>\n\u003cp>Health insurance rates in the state are currently overseen by the Department of Managed Health Care and the California Department of Insurance. Insurance companies are required to submit proposed rate increases for review each year by state regulators, who may declare rates unreasonable but cannot block them from going into effect.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"This is the missing piece of health reform,\" says Carmen Balber, executive director of Consumer Watchdog in Santa Monica, the advocacy group that sponsored the initiative. \"If every Californian is required to purchase health insurance and no one is overseeing what insurance companies can charge, the insurance industry will have a free pass to raise prices at will.\"\u003c/p>\n\u003cp>Insurance Commissioner Dave Jones \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/05/27/insurance-commissioner-defends-health-insurance-initiative/\" target=\"_blank\">strongly supports the proposition\u003c/a>.\u003c/p>\n\u003cp>Since 2011, insurers have proceeded at least 14 times with rate hikes deemed unreasonable by California regulators, according to the California Public Interest Research Group, a consumer advocacy group in Sacramento. Consumer Watchdog says that those rate increases have cost consumers more than $250 million.\u003c/p>\n\u003cp>Not everyone agrees that Proposition 45 will cut health insurance costs, however. Critics say that the initiative would do nothing to reduce underlying health care costs, but could add a costly bureaucracy to the state's health insurance marketplace. Some also worry that the proposition could expose insurers to legal challenges on rate increases.\u003c/p>\n\u003cp>\"It's going to drive the costs up dramatically,\" says Neil Crosby, a spokesperson for the California Association of Health Underwriters, a Sacramento-based group that represents the private health insurance industry. The campaign against Proposition 45 has received major financial backing from insurance providers such as the Kaiser Foundation Health Plan and Blue Shield of California. (Kaiser Health News is not affiliated with Kaiser Permanente or the Kaiser Foundation Health Plan.)\u003c/p>\n\u003cp>Peter Lee, executive director of Covered California, the state's health care exchange, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/02/fight-continues-over-ballot-measure-to-control-health-insurance-premiums/\" target=\"_blank\">told legislators in July\u003c/a> that the proposition could undermine the exchange's ability to negotiate rates directly with health plans. For now, the exchange wields the bargaining power of 1.4 million people having signed up for insurance through Covered California since last fall.\u003c/p>\n\u003cp>An additional layer of rate review and any potential disputes with the insurance commissioner could keep some plans from being available in time for open enrollment, Lee said, and might even cause some health plans to withdraw from certain markets.\u003c/p>\n\u003cp>Insurance laws vary widely from state to state, but more than half of states already require some health insurance rate increases to be approved by the government before they can be implemented, according to data from the National Association of Insurance Commissioners.\u003c/p>\n\u003cp>Some states that require prior approval of rates have had to plan ahead to meet open enrollment timelines under the health law, says Sabrina Corlette, a senior research fellow at the Georgetown University Health Policy Institute in Washington, D.C. But in general, she says the extra reviews have not posed a problem. \"We have not heard that plans just weren't ready to be sold when open enrollment came around,\" says Corlette.\u003c/p>\n\u003cp>The Field Poll was among the very first to survey state residents on Proposition 45, and a strong blitz by the insurance companies during the fall campaign season could affect public opinion. Insurers have donated millions of dollars to a campaign to defeat the measure.\u003c/p>\n\u003cp>Nonetheless, some observers say the proposition may not make a big difference in the short term.\u003c/p>\n\u003cp>Current market forces and the added restrictions from the health law seem to be helping to keep rate increases low in California, says Dylan Roby, a health policy professor at the University of California, Los Angeles. At the end of July, Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/31/californias-2015-obamacare-premiums-will-increase-modestly/\" target=\"_blank\">announced negotiated rate increases\u003c/a> for 2015, averaging a modest 4.2 percent across the state.\u003c/p>\n\u003cp>The additional oversight could become more relevant in the future, says Roby, if health care spending begins to increase dramatically.\u003c/p>\n\u003cp>At the same time, Roby warns that without proper foresight, the proposition could leave certain markets vulnerable to coverage disruptions. For example, he said, in areas that are costlier to insure, and especially where competition among insurers is lower, Covered California may be forced to accept higher rate increases to keep an insurer’s plan in that jurisdiction. But if the insurance commissioner were to reject those negotiated rates, the health plan could decide to pull out of that area altogether.\u003c/p>\n\u003cp>Close communication between all parties early on in rate negotiations will be key to maintaining statewide access to health insurance, if Proposition 45 passes in November, says Roby.\u003c/p>\n\u003cp>\"Balancing the needs of the insurance commissioner and Covered California could be tricky,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Field Poll, which looked at a variety of health issues including Medicaid and the Covered California exchange, was conducted through telephone interviews of more than 1,500 state residents from June 26 through July 19. It has a margin of error of plus or minus 2.6 percentage points.\u003c/p>\n\n",
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"excerpt": "Prop. 45 would give the state's insurance commissioner the authority to reject excessive rate increases.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14038\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328.jpg\">\u003cimg class=\"size-large wp-image-14038\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-620x356.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"356\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Helen Shen,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/August/20/california-survey-health-insurance-rates-and-prop-45.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>California voters are showing strong early support for a ballot initiative that would expand the state's authority to regulate health insurance rates.\u003c/p>\n\u003cp>Nearly 7 of every 10 respondents indicated that they would vote in favor of Proposition 45, while 16 percent would vote against it, according to a \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2478.pdf\" target=\"_blank\">Field poll\u003c/a> released Wednesday.\u003c/p>\n\u003cp>Proposition 45 would give California's insurance commissioner the power to veto excessive health insurance rate increases.\u003c/p>\n\u003cp>Health insurance rates in the state are currently overseen by the Department of Managed Health Care and the California Department of Insurance. Insurance companies are required to submit proposed rate increases for review each year by state regulators, who may declare rates unreasonable but cannot block them from going into effect.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"This is the missing piece of health reform,\" says Carmen Balber, executive director of Consumer Watchdog in Santa Monica, the advocacy group that sponsored the initiative. \"If every Californian is required to purchase health insurance and no one is overseeing what insurance companies can charge, the insurance industry will have a free pass to raise prices at will.\"\u003c/p>\n\u003cp>Insurance Commissioner Dave Jones \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/05/27/insurance-commissioner-defends-health-insurance-initiative/\" target=\"_blank\">strongly supports the proposition\u003c/a>.\u003c/p>\n\u003cp>Since 2011, insurers have proceeded at least 14 times with rate hikes deemed unreasonable by California regulators, according to the California Public Interest Research Group, a consumer advocacy group in Sacramento. Consumer Watchdog says that those rate increases have cost consumers more than $250 million.\u003c/p>\n\u003cp>Not everyone agrees that Proposition 45 will cut health insurance costs, however. Critics say that the initiative would do nothing to reduce underlying health care costs, but could add a costly bureaucracy to the state's health insurance marketplace. Some also worry that the proposition could expose insurers to legal challenges on rate increases.\u003c/p>\n\u003cp>\"It's going to drive the costs up dramatically,\" says Neil Crosby, a spokesperson for the California Association of Health Underwriters, a Sacramento-based group that represents the private health insurance industry. The campaign against Proposition 45 has received major financial backing from insurance providers such as the Kaiser Foundation Health Plan and Blue Shield of California. (Kaiser Health News is not affiliated with Kaiser Permanente or the Kaiser Foundation Health Plan.)\u003c/p>\n\u003cp>Peter Lee, executive director of Covered California, the state's health care exchange, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/02/fight-continues-over-ballot-measure-to-control-health-insurance-premiums/\" target=\"_blank\">told legislators in July\u003c/a> that the proposition could undermine the exchange's ability to negotiate rates directly with health plans. For now, the exchange wields the bargaining power of 1.4 million people having signed up for insurance through Covered California since last fall.\u003c/p>\n\u003cp>An additional layer of rate review and any potential disputes with the insurance commissioner could keep some plans from being available in time for open enrollment, Lee said, and might even cause some health plans to withdraw from certain markets.\u003c/p>\n\u003cp>Insurance laws vary widely from state to state, but more than half of states already require some health insurance rate increases to be approved by the government before they can be implemented, according to data from the National Association of Insurance Commissioners.\u003c/p>\n\u003cp>Some states that require prior approval of rates have had to plan ahead to meet open enrollment timelines under the health law, says Sabrina Corlette, a senior research fellow at the Georgetown University Health Policy Institute in Washington, D.C. But in general, she says the extra reviews have not posed a problem. \"We have not heard that plans just weren't ready to be sold when open enrollment came around,\" says Corlette.\u003c/p>\n\u003cp>The Field Poll was among the very first to survey state residents on Proposition 45, and a strong blitz by the insurance companies during the fall campaign season could affect public opinion. Insurers have donated millions of dollars to a campaign to defeat the measure.\u003c/p>\n\u003cp>Nonetheless, some observers say the proposition may not make a big difference in the short term.\u003c/p>\n\u003cp>Current market forces and the added restrictions from the health law seem to be helping to keep rate increases low in California, says Dylan Roby, a health policy professor at the University of California, Los Angeles. At the end of July, Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/31/californias-2015-obamacare-premiums-will-increase-modestly/\" target=\"_blank\">announced negotiated rate increases\u003c/a> for 2015, averaging a modest 4.2 percent across the state.\u003c/p>\n\u003cp>The additional oversight could become more relevant in the future, says Roby, if health care spending begins to increase dramatically.\u003c/p>\n\u003cp>At the same time, Roby warns that without proper foresight, the proposition could leave certain markets vulnerable to coverage disruptions. For example, he said, in areas that are costlier to insure, and especially where competition among insurers is lower, Covered California may be forced to accept higher rate increases to keep an insurer’s plan in that jurisdiction. But if the insurance commissioner were to reject those negotiated rates, the health plan could decide to pull out of that area altogether.\u003c/p>\n\u003cp>Close communication between all parties early on in rate negotiations will be key to maintaining statewide access to health insurance, if Proposition 45 passes in November, says Roby.\u003c/p>\n\u003cp>\"Balancing the needs of the insurance commissioner and Covered California could be tricky,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Field Poll, which looked at a variety of health issues including Medicaid and the Covered California exchange, was conducted through telephone interviews of more than 1,500 state residents from June 26 through July 19. It has a margin of error of plus or minus 2.6 percentage points.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "california-reconsiders-letting-catholic-universities-limit-abortion-coverage",
"title": "State Reconsiders Letting Catholic Universities Limit Abortion Coverage",
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"content": "\u003cfigure id=\"attachment_20671\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/31868593_c758da9bbf_z.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-20671\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/31868593_c758da9bbf_z.jpg\" alt=\"Santa Clara University's employee health insurance will stop covering 'elective' abortions next year unless state officials change their minds. (Michael Zimmer/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Santa Clara University’s employee health insurance will stop covering ‘elective’ abortions next year unless state officials change their minds. (Michael Zimmer/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Grace Rubenstein and Mina Kim\u003c/strong>\u003c/p>\n\u003cp>State officials are reviewing whether they made the right call when they approved health plans that limit abortion coverage.\u003c/p>\n\u003cp>California law has strongly protected abortion rights for decades. But in recent years, the state’s Department of Managed Health Care — which oversees health insurance — has approved a handful of plans that exclude coverage for “elective” abortions. That is, abortions that aren’t necessary to protect the health of the mother.\u003c/p>\n\u003cp>Those insurance-plan approvals occurred quietly, with little public attention. Until last year, when officials at two Catholic universities, Santa Clara University and Loyola Marymount in Los Angeles, told faculty and staff that the schools would now only cover abortions that are “medically necessary” for the mother’s health. State officials had approved those insurance plans.\u003c/p>\n\u003cp>The decision surprised and angered hundreds of Santa Clara faculty members, who tried and failed earlier this year to get the school’s Board of Trustees to reverse the decision. And it also appeared to reverse decades of legal precedent in California. Now, officials from the Department of Managed Health Care say they’re going back and reviewing the policy.\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The question is, are abortions chosen by a woman with the approval of her doctor medically necessary?” said Bob Egelko, a \u003cem>San Francisco Chronicle\u003c/em> reporter who’s been \u003ca href=\"http://www.sfgate.com/news/article/2-California-Catholic-universities-limit-5680932.php\">following the story\u003c/a>. “Until pretty recently it was assumed by insurers that they were.”\u003c/p>\n\u003cp>Anti-abortion groups, such as the Life Legal Defense Foundation, maintain that abortions by choice are not necessary.\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘California law has treated all abortions chosen by the woman as within her rights and … until now.’\u003c/aside>\n\u003cp>California is known for having strong reproductive rights protections. In 1972, the state Supreme Court struck down a law that allowed abortions only to prevent serious physical harm to a woman, not abortions chosen for any other reason.\u003c/p>\n\u003cp>“The court said that standard is vague and violates women’s rights,” Egelko said. “So ever since then California law has treated all abortions chosen by the woman as within her rights and … as medically necessary. It’s pretty much been taken for granted up until now.”\u003c/p>\n\u003cp>And a 1975 state law, the Knox-Keene Health Care Services Plan Act, required health plans to cover all medically necessary procedures.\u003c/p>\n\u003cp>When Anthem Blue Cross applied in 2008 to offer a plan for religious institutions that excluded “elective” abortions, however, the state approved it. Officials approved a Kaiser Permanente plan with a similar exclusion in 2012; that plan is available to any employer with an objection to abortion, religious or not.\u003c/p>\n\u003cp>“They didn’t really explain themselves,” Egelko said of state regulators.\u003c/p>\n\u003cp>\u003cem>California Lawyer\u003c/em> magazine, which \u003ca href=\"http://www.callawyer.com/clstory.cfm?pubdt=201406&eid=935243&evid=1\">first reported\u003c/a> on the universities’ changes in June, spells out the legal complexity of the matter:\u003c/p>\n\u003cblockquote>\u003cp>Despite the public perception of clear state constitutional and statutory protections for abortion in California, private insurance law has a muddier history. …\u003c/p>\n\u003cp>Members of group health plans elsewhere in California may soon find themselves as surprised as [Santa Clara University faculty] to learn how weak protections for access to abortion have become under the state’s health insurance regulators.\u003c/p>\n\u003cp>Knox-Keene spells out the basic health services that insurers must provide to meet medical standards of care. Significantly, the statute contains no religious exception for eliminating abortion access.\u003c/p>\u003c/blockquote>\n\u003cp>Santa Clara University’s new plan doesn’t go into effect until next year. Loyola’s is already in effect, but there’s a provision for employees to pay extra for abortion coverage through a private plan.\u003c/p>\n\u003cp>Meanwhile, nationwide, \u003ca href=\"http://www.becketfund.org/hhsinformationcentral/#BackToTop2\">more than 100\u003c/a> universities and other nonprofit institutions are suing the Obama administration over a birth control conflict that MSNBC \u003ca href=\"http://www.msnbc.com/msnbc/the-next-hobby-lobby\">called\u003c/a> “the next Hobby Lobby.” In short, the federal government created an opt-out form that religious institutions can sign to certify their opposition to contraception; then their insurers directly cover contraceptive costs, taking the employer out of the equation. The employers stay that still results in contraception and thus impinges on their religious liberty, so they’re suing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>It’s not clear when California officials will announce whether they’ll allow the plans limiting abortion coverage to go on.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20671\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/31868593_c758da9bbf_z.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-20671\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/31868593_c758da9bbf_z.jpg\" alt=\"Santa Clara University's employee health insurance will stop covering 'elective' abortions next year unless state officials change their minds. (Michael Zimmer/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Santa Clara University’s employee health insurance will stop covering ‘elective’ abortions next year unless state officials change their minds. (Michael Zimmer/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Grace Rubenstein and Mina Kim\u003c/strong>\u003c/p>\n\u003cp>State officials are reviewing whether they made the right call when they approved health plans that limit abortion coverage.\u003c/p>\n\u003cp>California law has strongly protected abortion rights for decades. But in recent years, the state’s Department of Managed Health Care — which oversees health insurance — has approved a handful of plans that exclude coverage for “elective” abortions. That is, abortions that aren’t necessary to protect the health of the mother.\u003c/p>\n\u003cp>Those insurance-plan approvals occurred quietly, with little public attention. Until last year, when officials at two Catholic universities, Santa Clara University and Loyola Marymount in Los Angeles, told faculty and staff that the schools would now only cover abortions that are “medically necessary” for the mother’s health. State officials had approved those insurance plans.\u003c/p>\n\u003cp>The decision surprised and angered hundreds of Santa Clara faculty members, who tried and failed earlier this year to get the school’s Board of Trustees to reverse the decision. And it also appeared to reverse decades of legal precedent in California. Now, officials from the Department of Managed Health Care say they’re going back and reviewing the policy.\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The question is, are abortions chosen by a woman with the approval of her doctor medically necessary?” said Bob Egelko, a \u003cem>San Francisco Chronicle\u003c/em> reporter who’s been \u003ca href=\"http://www.sfgate.com/news/article/2-California-Catholic-universities-limit-5680932.php\">following the story\u003c/a>. “Until pretty recently it was assumed by insurers that they were.”\u003c/p>\n\u003cp>Anti-abortion groups, such as the Life Legal Defense Foundation, maintain that abortions by choice are not necessary.\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘California law has treated all abortions chosen by the woman as within her rights and … until now.’\u003c/aside>\n\u003cp>California is known for having strong reproductive rights protections. In 1972, the state Supreme Court struck down a law that allowed abortions only to prevent serious physical harm to a woman, not abortions chosen for any other reason.\u003c/p>\n\u003cp>“The court said that standard is vague and violates women’s rights,” Egelko said. “So ever since then California law has treated all abortions chosen by the woman as within her rights and … as medically necessary. It’s pretty much been taken for granted up until now.”\u003c/p>\n\u003cp>And a 1975 state law, the Knox-Keene Health Care Services Plan Act, required health plans to cover all medically necessary procedures.\u003c/p>\n\u003cp>When Anthem Blue Cross applied in 2008 to offer a plan for religious institutions that excluded “elective” abortions, however, the state approved it. Officials approved a Kaiser Permanente plan with a similar exclusion in 2012; that plan is available to any employer with an objection to abortion, religious or not.\u003c/p>\n\u003cp>“They didn’t really explain themselves,” Egelko said of state regulators.\u003c/p>\n\u003cp>\u003cem>California Lawyer\u003c/em> magazine, which \u003ca href=\"http://www.callawyer.com/clstory.cfm?pubdt=201406&eid=935243&evid=1\">first reported\u003c/a> on the universities’ changes in June, spells out the legal complexity of the matter:\u003c/p>\n\u003cblockquote>\u003cp>Despite the public perception of clear state constitutional and statutory protections for abortion in California, private insurance law has a muddier history. …\u003c/p>\n\u003cp>Members of group health plans elsewhere in California may soon find themselves as surprised as [Santa Clara University faculty] to learn how weak protections for access to abortion have become under the state’s health insurance regulators.\u003c/p>\n\u003cp>Knox-Keene spells out the basic health services that insurers must provide to meet medical standards of care. Significantly, the statute contains no religious exception for eliminating abortion access.\u003c/p>\u003c/blockquote>\n\u003cp>Santa Clara University’s new plan doesn’t go into effect until next year. Loyola’s is already in effect, but there’s a provision for employees to pay extra for abortion coverage through a private plan.\u003c/p>\n\u003cp>Meanwhile, nationwide, \u003ca href=\"http://www.becketfund.org/hhsinformationcentral/#BackToTop2\">more than 100\u003c/a> universities and other nonprofit institutions are suing the Obama administration over a birth control conflict that MSNBC \u003ca href=\"http://www.msnbc.com/msnbc/the-next-hobby-lobby\">called\u003c/a> “the next Hobby Lobby.” In short, the federal government created an opt-out form that religious institutions can sign to certify their opposition to contraception; then their insurers directly cover contraceptive costs, taking the employer out of the equation. The employers stay that still results in contraception and thus impinges on their religious liberty, so they’re suing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>It’s not clear when California officials will announce whether they’ll allow the plans limiting abortion coverage to go on.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "CA Insurance Commissioner: Insurers Fear Prop. 45, Will Keep Health Rates Low",
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"content": "\u003cfigure id=\"attachment_13022\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-e1382074913159.jpg\">\u003cimg class=\"size-large wp-image-13022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-620x413.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new analysis from the Department of Insurance confirms what has been reported since the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">Covered California exchange opened last October\u003c/a>: Some people saw steep premium increases after the rollout of the Affordable Care Act.\u003c/p>\n\u003cp>According to the department's analysis non-subsidy eligible individuals saw average increases ranging from 22 to 88 percent, depending on their age and where they lived. The review was done of all health plans -- including those managed for the Department of Managed Health Care -- and looked at premiums from California's four largest carriers, Anthem Blue Cross, Kaiser, Blue Shield and Health Net.\u003c/p>\n\u003cp>The release appeared to be politically timed. Covered California's rates for \u003cem>next\u003c/em> year are due on Thursday, and the rumble is that new premiums will show only modest increases.\u003c!--more-->\u003c/p>\n\u003cp>Insurance Commissioner Dave Jones say that's for one reason --\u003ca href=\"http://www.sos.ca.gov/elections/vig-public-display/110414-general-election/prop-45/prop-45-text.pdf\" target=\"_blank\"> Proposition 45\u003c/a> coming on this November's ballot. The ballot measure would give the state's insurance commissioner the authority to reject excessive health insurance rate hikes. Jones believes health insurers are keeping premiums lower than they would have otherwise without the threat of the proposition.\u003c/p>\n\u003cp>\"I fully expect that the degree of those increases will be modest at best,\" Jones said, \"because Proposition 45 is on the ballot, and they are very concerned about creating any sort of backlash from Californians.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>UCLA health policy professor Gerald Kominski expressed no surprise at the news of the department of insurance's analysis and its report of increases in premiums. He said that the Affordable Care Act requires both standardized plans and guaranteed issue, meaning that no one can be turned down because of a preexisting condition. Those two factors alone, he said, account for higher premiums.\u003c/p>\n\u003cp>\"In 2013, premiums were artificially lower, and prior to the ACA, premiums could be held down by excluding high-risk patients from the market and by offering skinny benefits.\"\u003c/p>\n\u003cp>The California Association of Health Plans, an industry group, chastised Jones for \"looking backward\" when open enrollment for 2015 is coming soon.\u003c/p>\n\u003cp>\"The ACA ushered in a new era of health care coverage,\" said vice president Charles Bacchi in a release. \"While some paid more for this expanded health care coverage, many Californians paid less and benefited from subsidies.\"\u003c/p>\n\u003cp>More than a \u003ca href=\"http://news.coveredca.com/2014/04/covered-californias-historic-first-open.html\" target=\"_blank\">million Californians qualified for subsidies\u003c/a> in the 2014 open enrollment. Some non-subsidy eligible Californians saw \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">premiums go down\u003c/a>. Jones asserted that most of the three million people who purchased individual or small group insurance outside of Covered California (in other words, people who were not eligible for a subsidy) \"got significant rate increases.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For its part, Covered California released a one-line statement in response to the department's analysis: \u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\u003cspan class=\"Apple-style-span\">\"Covered California is looking forward to announcing its 2015 rates this Thursday.\"\u003c/span>\u003c/span>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_13022\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-e1382074913159.jpg\">\u003cimg class=\"size-large wp-image-13022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-620x413.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new analysis from the Department of Insurance confirms what has been reported since the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">Covered California exchange opened last October\u003c/a>: Some people saw steep premium increases after the rollout of the Affordable Care Act.\u003c/p>\n\u003cp>According to the department's analysis non-subsidy eligible individuals saw average increases ranging from 22 to 88 percent, depending on their age and where they lived. The review was done of all health plans -- including those managed for the Department of Managed Health Care -- and looked at premiums from California's four largest carriers, Anthem Blue Cross, Kaiser, Blue Shield and Health Net.\u003c/p>\n\u003cp>The release appeared to be politically timed. Covered California's rates for \u003cem>next\u003c/em> year are due on Thursday, and the rumble is that new premiums will show only modest increases.\u003c!--more-->\u003c/p>\n\u003cp>Insurance Commissioner Dave Jones say that's for one reason --\u003ca href=\"http://www.sos.ca.gov/elections/vig-public-display/110414-general-election/prop-45/prop-45-text.pdf\" target=\"_blank\"> Proposition 45\u003c/a> coming on this November's ballot. The ballot measure would give the state's insurance commissioner the authority to reject excessive health insurance rate hikes. Jones believes health insurers are keeping premiums lower than they would have otherwise without the threat of the proposition.\u003c/p>\n\u003cp>\"I fully expect that the degree of those increases will be modest at best,\" Jones said, \"because Proposition 45 is on the ballot, and they are very concerned about creating any sort of backlash from Californians.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UCLA health policy professor Gerald Kominski expressed no surprise at the news of the department of insurance's analysis and its report of increases in premiums. He said that the Affordable Care Act requires both standardized plans and guaranteed issue, meaning that no one can be turned down because of a preexisting condition. Those two factors alone, he said, account for higher premiums.\u003c/p>\n\u003cp>\"In 2013, premiums were artificially lower, and prior to the ACA, premiums could be held down by excluding high-risk patients from the market and by offering skinny benefits.\"\u003c/p>\n\u003cp>The California Association of Health Plans, an industry group, chastised Jones for \"looking backward\" when open enrollment for 2015 is coming soon.\u003c/p>\n\u003cp>\"The ACA ushered in a new era of health care coverage,\" said vice president Charles Bacchi in a release. \"While some paid more for this expanded health care coverage, many Californians paid less and benefited from subsidies.\"\u003c/p>\n\u003cp>More than a \u003ca href=\"http://news.coveredca.com/2014/04/covered-californias-historic-first-open.html\" target=\"_blank\">million Californians qualified for subsidies\u003c/a> in the 2014 open enrollment. Some non-subsidy eligible Californians saw \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">premiums go down\u003c/a>. Jones asserted that most of the three million people who purchased individual or small group insurance outside of Covered California (in other words, people who were not eligible for a subsidy) \"got significant rate increases.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For its part, Covered California released a one-line statement in response to the department's analysis: \u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\u003cspan class=\"Apple-style-span\">\"Covered California is looking forward to announcing its 2015 rates this Thursday.\"\u003c/span>\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California leads the nation in the number of people who die for lack of health insurance, according to a report by Families USA.\u003c/p>\n\u003cp>The report focused on people between aged 25 and 64.\u003c/p>\n\u003cp>Of the 26,100 who died nationwide in 2010 because they didn’t have insurance 3,164 — or about 12 percent — of there people were in California, the advocacy group estimated.\u003c/p>\n\u003cp>Of course, more people live in California than any other state. The report doesn’t discuss the question of whether deaths here are disproportionate to the population.\u003c/p>\n\u003cp>But according to the US Census, the Golden State had 37,253,956 residents in 2010, out of 308,745,538 in the country, which also works out to about 12 percent.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So at least the lack of insurance isn’t killing Californians disproportionately. Still, these thousands of deaths are of concern. This raises the question of how Families USA arrived at its estimates.\u003c/p>\n\u003cp>The answer, explained in the report’s appendix, is a bit of algebra which the organization says it borrowed from the US Institute of Medicine (IOM). The IOM looked at the death rate of people who don’t have insurance and compared it to the death rate of people who do have insurance, then controlled for “numerous” factors (presumably poverty and illness among others).\u003c/p>\n\u003cp>Crunching all these numbers, the IOM determined that the absence of insurance coverage increases mortality by an average of 25 percent for adults aged 25-64. (For a full explanation and other details about the estimates, \u003ca href=\"http://familiesusa2.org/assets/pdfs/Dying-for-Coverage.pdf\">read the report\u003c/a> and its appendix.)\u003c/p>\n\u003cp>Since more people are now uninsured than in the past, the number dying for lack of insurance is also increasing, the report says.\u003c/p>\n\u003cp>The number of deaths attributed to lack of insurance nationwide has risen steadily since 2005, when it stood at 20,350, the report says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California leads the nation in the number of people who die for lack of health insurance, according to a report by Families USA.\u003c/p>\n\u003cp>The report focused on people between aged 25 and 64.\u003c/p>\n\u003cp>Of the 26,100 who died nationwide in 2010 because they didn’t have insurance 3,164 — or about 12 percent — of there people were in California, the advocacy group estimated.\u003c/p>\n\u003cp>Of course, more people live in California than any other state. The report doesn’t discuss the question of whether deaths here are disproportionate to the population.\u003c/p>\n\u003cp>But according to the US Census, the Golden State had 37,253,956 residents in 2010, out of 308,745,538 in the country, which also works out to about 12 percent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So at least the lack of insurance isn’t killing Californians disproportionately. Still, these thousands of deaths are of concern. This raises the question of how Families USA arrived at its estimates.\u003c/p>\n\u003cp>The answer, explained in the report’s appendix, is a bit of algebra which the organization says it borrowed from the US Institute of Medicine (IOM). The IOM looked at the death rate of people who don’t have insurance and compared it to the death rate of people who do have insurance, then controlled for “numerous” factors (presumably poverty and illness among others).\u003c/p>\n\u003cp>Crunching all these numbers, the IOM determined that the absence of insurance coverage increases mortality by an average of 25 percent for adults aged 25-64. (For a full explanation and other details about the estimates, \u003ca href=\"http://familiesusa2.org/assets/pdfs/Dying-for-Coverage.pdf\">read the report\u003c/a> and its appendix.)\u003c/p>\n\u003cp>Since more people are now uninsured than in the past, the number dying for lack of insurance is also increasing, the report says.\u003c/p>\n\u003cp>The number of deaths attributed to lack of insurance nationwide has risen steadily since 2005, when it stood at 20,350, the report says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>From AP:\u003c/p>\n\u003cblockquote>\u003cp>SAN FRANCISCO (AP) Blue Shield of California says it is withdrawing its plan to increase health insurance rates for individual policyholders in what would have been the third such \u003ca href=\"http://articles.latimes.com/2011/mar/12/business/la-fi-blue-shield-20110312\">rate hike\u003c/a> since October.\u003c/p>\n\u003cp>Blue Shield chief executive Bruce Bodaken said in a statement Wednesday that it’s nixing the planned May 1 increase to help keep coverage affordable.\u003c/p>\n\u003cp>The three increases combined would have raised members’ average rates by 30 percent, though increases for some would have been much greater.\u003c/p>\n\u003cp>The San Francisco-based nonprofit has said rising HealthCare costs forced the rate hikes.\u003c/p>\n\u003cp>Blue Shield said Wednesday it lost $27 million on individual policies last year and expects more such losses this year.\u003c/p>\n\u003cp>The insurer says members will be spared $35 million to $40 million in added premiums because of the cancelled increase. \u003c/p>\n\u003c/blockquote>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"headline": "Blue Shield Withdraws Plan for Big Rate Hike",
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