Health Care

This week, in a big win for consumers, a district court took action to block the proposed merger between health insurance giants Anthem and Cigna. This decision follows a ruling last month that blocked the proposed merger of two more of the nation’s biggest for-profit health insurers, Aetna and Humana. These decisions come after months of work by U.S. PIRG and a broad coalition of consumer and health care groups, urging close scrutiny of the mergers from state and federal regulators and raising questions and concerns about the potential impact of the mergers.

News Release | PIRGIM | 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. 

News Release | PIRGIM Education Fund | Health Care

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

Many states are creating health exchanges to deliver better value for consumers, and Michigan should follow their lead, according to Making the Grade, a new report by PIRGIM.

Report | PIRGIM Education Fund | Health Care

Making the Grade: A Scorecard for State Health Insurance Exchanges

States have an important opportunity to improve their health care marketplaces through the creation of an exchange. And the health reform law gives the states substantial leeway to define critical aspects of the exchange, including who is eligible to buy coverage through it, how aggressively it will set standards and negotiate with insurers, and who will run it.

Resource | Health Care

Building a Better Health Care Marketplace: Driving Quality and Cost Improvements through the Exchange

A health care exchange that pools its enrollees’ bargaining power will help give consumers a better deal on their coverage, but it will need to do more to get the unsustainable rise in health care costs under control.

Resource | Health Care

Building a Better Health Care Marketplace: Ensuring Exchange Stability and Protecting Against Adverse Selection

The idea of creating health insurance purchasing pools, like those called for in the Affordable Care Act, is not a new one.  In the past, many states have experimented with creating such pools, and their experience has shown that mechanisms like the exchange can succeed at improving choice and holding down costs.  But experience has also shown that success is not automatic

Resource | Health Care

Building a Better Health Care Marketplace: Spotlight on Small Business

While many Americans struggle with the rising costs and eroding quality of health care, the plight of small businesses stands out – lacking the advantages possessed by larger businesses, they face unique challenges. 

Resource | Health Care

Building a Better Health Care Marketplace: Negotiating for a Better Deal

A well-made state exchange can help deliver lower costs for individuals and small businesses. Just as big businesses negotiate with insurers, using the bargaining power of their employees to push for lower premiums, so too can exchange enrollees benefit from a muscular exchange that negotiates on their behalf for better choices and lower costs.

Resource | Health Care

Building a Better Health Care Marketplace: Ensuring Accountability

The opportunity to create a state exchange will allow Michigan to increase competition and improve choices in our insurance market.   However, to fully realize this opportunity, the exchange must be accountable to the public, and the individual and small business consumers who will buy their coverage through it.  

News Release | PIRGIM Education Fund | Health Care

Effective State Exchange Key to Lower Health Costs for Michigan Consumers

Michigan policy-makers can address rising health care costs by implementing an effective health insurance exchange, according to the first in a new series of policy briefs released today by consumer advocacy group PIRGIM.

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