logo

Ramsgate Consulting

 
HomeMedicalDentalVisionLifePrescriptionsCustomer serviceCompany profileOther sites of interest  
[clip art]


 

Anthem Blue Cross of California agrees to request from California Department of Insurance for additional time to re-review rate increase

 

Statement by Brian A. Sassi, President and Chief Executive Officer Consumer Business

Unit, on Rate Adjustments in California

FOR IMMEDIATE RELEASE – February 13, 2010 - Thousand Oaks, CA – “Earlier

today, Anthem Blue Cross agreed to a request by the California Department of

Insurance to postpone a rate adjustment for individual members in California by two

months to allow the Department additional time for review. To avoid confusion for our

members, this delay will impact all Anthem individual members regulated at either the

state Department of Insurance or the Department of Managed Health Care. We

welcome the regulatory review and are confident that our rates reflect anticipated

medical costs.

“Anthem filed these rates with the appropriate regulators in November of 2009. They are

actuarially sound and in full compliance with all requirements in the law. The rate

adjustments have been reviewed by an independent expert.

“Our decision to agree to postpone the rate adjustment does not change the underlying

issue. All health plans are in the same situation in trying to deal with the steadily

increasing medical costs in the delivery system, which are not sustainable. We are also

experiencing a higher proportion of healthy individuals choosing not to enroll, leaving an

insured pool that utilizes significantly more services. We need to refocus the health care

reform debate toward steps that will improve quality and control the underlying medical

costs, which is driving the high cost of coverage.

“We understand the impact any rate adjustment has on our members and their ability to

continue to carry health insurance. And we are committed to driving quality and reducing

costs in the health care system and improving the lives of the Californians we serve and

the health of communities all across the state. Members will be receiving a letter shortly

that describes these changes in detail and whom to contact for additional information.”

 

 

 

back to top

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mail
Send us an E-mail

HEADLINE NEWS

 

(Click on underlined headings for complete story)

 

ANTHEM BLUE CROSS ANNOUNCES AVAILABILITY OF LIPITOR GENERIC: On November 30, 2011, Anthem Blue Cross added a new generic drug called Atorvastatin to tier 1.

Seniors Get A Break on Medicare Part B Premiums: Part B premiums for Medicare beneficiaries will rise less than originally anticipated next year, the Department of Health and Human Services announced Thursday.

Obama Administration cuts California Medi-Cal Reimbursements: The Obama administration approved significant Medi-Cal cuts Thursday that health care providers and patient advocates warn will reduce access for California's most vulnerable residents.

TRUSTEES: MEDICARE HOSPITAL FUND EXTENDED 12 YEARS:  But officials cautioned Thursday that the gain will depend on achieving significant savings in health care in coming years.

American's Coming Health Care Oligopoly:  Can you say "insuragopoly"? How about "hospigopoly"? Then you better learn, because they describe how the health care system is changing under President Obama's health care reform legislation.

Health Overhaul May Mean Longer ER Waits, Overcrowding:  Rand Corp. researcher Dr. Arthur L. Kellermann predicts this from the new law: "More people will have coverage and will be less afraid to go to the emergency department if they're sick or hurt and have nowhere else to go.... We just don't have other places in the system for these folks to go."

5 PAINFUL HEALTH-CARE LESSONS FROM MASSACHUSETTS:  The best guide to how President Obama's historic health-care legislation will reshape the nation's medical marketplace and fiscal future is the pioneering model in Massachusetts. The Bay State's reform program started in late 2006, and it shares virtually all the major features of the new federal plan.

Dartmouth Study on Health Care Costs:  In selling the health care overhaul to Congress, the Obama administration cited a once obscure research group at Dartmouth College to claim that it could not only cut billions in wasteful health care spending but make people healthier by doing so.

OBAMACARE'S FUZZY MATH -- HIGH RISK POOLS WILL COST 8 TIMES WHAT IS BUDGETED:  One feature of the health overhaul that the President is touting as an immediate benefit is the expansion of so-called "high risk pools" for people who want to buy insurance but can't because of their poor health. The problem is that there's no way that $5 billion, which is what's been budgeted, will cover the cost of covering 2 million people. The real cost will be more like $40 billion.

RESCISSIONS:  MUCH ADO ABOUT NOTHING:  How many times have you heard President Obama say, "Health insurers won’t be able to drop your coverage just because you get sick?" Or Kathleen Sebelius? Or the Democratic leadership in Congress? Or the mainstream news media? You would think that the private health insurance industry was being revolutionized.

OBAMACARE’S HIDDEN TIME BOMB:  One of the quirks of ObamaCare is that most of its key provisions don't go into effect until 2014. But in any 2,300-page law, there are bound to be provisions that have immediate and unintended consequences. One such provision is Section 2718, entitled "Bringing Down The Cost Of Health Care Coverage."

DOCTOR SHORTAGE?  28 STATES MAY EXPAND NURSES' ROLE:   A nurse may soon be your doctor. With a looming shortage of primary care doctors, 28 states are considering expanding the authority of nurse practitioners.

Once-a-Week Workout Keeps Elderly Strong: One workout a week can mean the difference between frailty and freedom.

FDA OKs Device to Treat Back Pain: The government on Tuesday approved sales of a device that could radically change surgery for certain back pain sufferers.

 

 

Archives - Alpha Archives by Date