Making Health Care Work

LOWERING HEALTH CARE COSTS—A pro-consumer health insurance exchange would allow hundreds of thousands of families and businesses to join together and negotiate for cheaper health care plans.

LOWER COSTS, BETTER CARE

With the Supreme Court uphold the health reform law, it’s time for the states to move forward to make sure consumers see the benefit of lower costs and better quality coverage.

At stake is how we set up new insurance marketplaces — the single biggest tool we have to clean up health care. The new state insurance exchanges will allow small businesses, those of us who buy health care on our own, and the uninsured to shop for cheaper health care plans and find some relief from increasingly brutal premiums.  

Done right, the exchange will save billions and level the balance of power between consumers and the health care industry — driving the industry to cut waste and prioritize high-quality care.

The health care industry has spent millions to influence decisions on health care, so they know how high the stakes are.

In order to help us fight back against the kind of price jumps and trap-door coverage we’ve all been suffering from, U.S. PIRG is pushing to see that the exchanges:

  1. Negotiate for better plans. By demanding better care for less cost, the exchanges can use the collective power of hundreds of thousands of consumers to finally demand that the industry does better. 
  2. Have high standards, so that bad plans aren’t an option. 
  3. Are open to as many people as possible. Limits that shut some individuals and businesses out of the exchanges would reduce its ability to lower costs — and will be a key tactic that industry lobbyists use to weaken them. 
  4. Are accountable to the public.

Issue updates

Blog Post | Health Care

The Supreme Court and the High Cost of Rx Drugs | Laura Etherton

Everyone knows prescription drugs cost much more than they should. But many people are surprised to learn about one of the key ways drug companies keep prices high: Paying off competitors to keep generics off the market. On Monday, the Supreme Court heard arguments in a case about this very practice.

> Keep Reading
Blog Post | Health Care

Pictures from our DC toy safety news conference today | Ed Mierzwinski

Today, PIRGs around the country released our 27th annual Trouble In Toyland report, highlighting potential choking, toxics, magnet and noise hazards kids may face. Here are a few photos from our DC event, where we were joined by Dr. Bryan Rudolph, a pediatric gastroenterologist, and Bob Adler, a Commissioner of the CPSC.

> Keep Reading
Blog Post | Health Care

FTC consumer champion has industries making false health claims afraid, very afraid | Ed Mierzwinski

Adweek profiles FTC consumer chief David Vladeck and his campaign to make yogurt makers, athletic apparel makers, cereal makers and household name firms from Reebok and Skechers to Kellogg's and Dannon to either tell the truth about their health claims or pay. It's a nice piece on the FTC's work and on the longtime consumer champion, who heads back to his Georgetown Law professorship at the end of the year.

> Keep Reading
Blog Post | Health Care

What's Next on Health Care Costs? | Laura Etherton

Now that the election is over, talk has turned to the need to work together and get results for America. It’s a tall order, and on the polarized issue of health care, it may seem like an impossible task. But here's why I'm optimistic that we can in fact make progress.

> Keep Reading
Blog Post | Health Care

Here’s that Rx refill you didn’t order | Laura Etherton

Is your pharmacy refilling your prescription without your knowledge or approval, and billing your insurance company for the cost? If so, it’s the latest example of waste we shouldn't tolerate in our health care system.

> Keep Reading

Pages

Media Hit | Health Care

Los Angeles Times: Target, Rite Aid, Walgreens refill drugs without OK, patients say

Some consumers report Target, Rite Aid and Walgreens have refilled their prescription drugs without their approval, similar to allegations involving CVS.

> Keep Reading
News Release | U.S. PIRG | Health Care

Supreme Court Upholds Health Reform

Today’s decision is good news for consumers. Insurance companies can’t go back to the days of dropping your coverage once you become ill, or denying coverage to sick children. And beginning in 2014, the days of insurers being able to deny anyone coverage for “pre-existing conditions” will be history. 

> Keep Reading
News Release | U.S. PIRG | Health Care

Senate Approves S.3187 the Food and Drug Administration Safety and Innovation Act S. 3187

The Senate Passage of the Prescription Drug User Fee Act (PDUFA) not Strong Enough to Ensure Sufficient Consumer Safety from Drugs and Medical devices

> Keep Reading
News Release | U.S. PIRG | Health Care

New Health Exchange Rules Help States Move Forward

The rules released today by the federal Department of Health and Human Services put states in the driver’s seat when it comes to setting up new health benefits exchanges.  

> Keep Reading
News Release | U.S. PIRG Education Fund | Health Care

Nationwide Survey of New Health Exchanges Shows How to Lower Costs for Consumers

Many states are creating health exchanges to deliver better value for consumers, and other states should follow their lead, according to Making the Grade, a new report by consumer group U.S. PIRG.  Health exchanges are competitive marketplaces that can empower individuals and small businesses with better, more affordable options for coverage.  Under the federal health reform law, each state will have an exchange up and running in 2014. The report closely examines the exchanges that have so far been set up by states and rates them according to how accountable they will be to consumers and the public, how much they can do to lower premiums and improve the quality of care, how friendly they will be to consumers, and how stable they will be.

> Keep Reading

Pages

Result | Health Care

KEEPING HEALTH CARE AFFORDABLE

Across the country, U.S. PIRG has stood up against unjustified rate hikes and won victories in Oregon and California so far. Thanks in part to our advocacy, California now requires insurers to justify rate hikes to the public, and Oregon state regulators recently cut a proposed 22% rate hike almost in half, saving $12.5 million for some ratepayers.  

> Keep Reading
Result | Health Care

Young People Now Covered

This year, the federal health care reforms that U.S. PIRG worked to win have started to pay off for young people. In the past, teens saw their premiums soar or were denied coverage when they turned 19, even if they’d been insured their whole lives. Now, they can remain on their parents’ plans until age 26. 

> Keep Reading
Report | U.S. PIRG Education Fund | Health Care

Making the Grade

This report assesses the progress that the states have made, and for the states that have begun to set up their health care exchange, evaluates them on the myriad policies and criteria that will determine whether it is ultimately successful in improving health care for consumers.

> Keep Reading
Report | U.S. PIRG Education Fund | Health Care

Building a Better Health Care Marketplace

The creation of a new health insurance exchange offers our state the chance to build a better marketplace for health care.  The exchange can help individuals and small businesses by increasing competition and improving choices in the state’s insurance market.  By providing better options and better information, and negotiating on behalf of its enrollees, the exchange can level the playing field for consumers.

> Keep Reading
Report | U.S. PIRG | Health Care

The Cost of Repeal for Young Adults

Before moving forward with the health care repeal, however, policy-makers must consider the real-life consequences that their policy choices would have on millions of young Americans. U.S. PIRG has examined official research, data, and projections from independent sources, to provide a detailed picture of repeal’s impact on young adults. The evidence reveals that young people would face significant costs if the Affordable Care Act is repealed.

> Keep Reading
Report | U.S. PIRG | Health Care

The Cost of Repeal

The evidence suggests that the costs of health care repeal are substantial and many of the asserted benefits of repeal do not stand up under scrutiny. But policy makers have additional options. They instead should work to implement the law properly in the states and take the steps to lower health care costs which the federal law fails to take.

> Keep Reading
Report | U.S. PIRG | Health Care

MAINE: The Cost of Repeal

The evidence suggests that the costs of health care repeal are substantial and many of the asserted benefits of repeal do not stand up under scrutiny. But Maine's policy makers have additional options. Maine instead should adapt the law's implementation to its needs and take the steps to lower health care costs which the federal law fails to take.

> Keep Reading
Blog Post | Health Care

The Supreme Court and the High Cost of Rx Drugs | Laura Etherton

Everyone knows prescription drugs cost much more than they should. But many people are surprised to learn about one of the key ways drug companies keep prices high: Paying off competitors to keep generics off the market. On Monday, the Supreme Court heard arguments in a case about this very practice.

> Keep Reading
Blog Post | Health Care

Pictures from our DC toy safety news conference today | Ed Mierzwinski

Today, PIRGs around the country released our 27th annual Trouble In Toyland report, highlighting potential choking, toxics, magnet and noise hazards kids may face. Here are a few photos from our DC event, where we were joined by Dr. Bryan Rudolph, a pediatric gastroenterologist, and Bob Adler, a Commissioner of the CPSC.

> Keep Reading
Blog Post | Health Care

FTC consumer champion has industries making false health claims afraid, very afraid | Ed Mierzwinski

Adweek profiles FTC consumer chief David Vladeck and his campaign to make yogurt makers, athletic apparel makers, cereal makers and household name firms from Reebok and Skechers to Kellogg's and Dannon to either tell the truth about their health claims or pay. It's a nice piece on the FTC's work and on the longtime consumer champion, who heads back to his Georgetown Law professorship at the end of the year.

> Keep Reading
Blog Post | Health Care

What's Next on Health Care Costs? | Laura Etherton

Now that the election is over, talk has turned to the need to work together and get results for America. It’s a tall order, and on the polarized issue of health care, it may seem like an impossible task. But here's why I'm optimistic that we can in fact make progress.

> Keep Reading
Blog Post | Health Care

Here’s that Rx refill you didn’t order | Laura Etherton

Is your pharmacy refilling your prescription without your knowledge or approval, and billing your insurance company for the cost? If so, it’s the latest example of waste we shouldn't tolerate in our health care system.

> Keep Reading
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