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.

Delivering on the Promise of Quality, Affordable Health Care

Now the fight for health care reform is in Austin, and so are the health care industry’s lobbyists.

At stake is how we set up a new insurance marketplace in Texas — the single biggest tool we have to clean up health care. The new state insurance exchange 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, TexPIRG is pushing to see that the exchange:

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

Issue updates

News Release | TexPIRG | Health Care

New Health Exchange Rules put States in the Driver's Seat

Statement of TexPIRG Advocate Melissa Cubria on today’s release of federal exchange regulations.

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Report | TexPIRG | Health Care

Building a Better Health Care Marketplace

Policy Brief #7: Designing a Consumer-Friendly Exchange: The exchange is a store where consumers can buy health insurance products – and anyone who’s worked retail knows that the consumer experience is critical.  For all the attention that must be paid to getting the behind-the-scenes aspects of the exchange to work, the front-end is just as important.

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Report | TexPIRG | Health Care

Building a Better Health Care Marketplace

Policy Brief #6: The Exchange and Public Programs: While the exchange represents a significant new opportunity for states to improve the quality and affordability of health insurance, it is only one piece of the larger health care landscape.  Public programs, including Medicaid and the Children’s Health Insurance Program (CHIP), will continue to play a significant role, and the way they interact with the exchange will be important to the success of both.

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News Release | TexPIRG | Health Care

Top Insurers Divert 1 in 4 Premium Dollars Away from Patient Care

An investigation of six of America’s largest health insurers concluded that over one quarter of policy-holders’ premiums on the individual health insurance market did not go to medical care in 2009, according to a Senate Commerce, Science, and Transportation Committee report released yesterday.

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Report | TexPIRG | Health Care

Building a Better Health Care Marketplace

Policy Brief #5: 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.

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News Release | TexPIRG | Health Care

Top Insurers Divert 1 in 4 Premium Dollars Away from Patient Care

An investigation of six of America’s largest health insurers concluded that over one quarter of policy-holders’ premiums on the individual health insurance market did not go to medical care in 2009, according to a Senate Commerce, Science, and Transportation Committee report released yesterday.

> Keep Reading
News Release | TexPIRG | Health Care

A Year After the ACA, State Legislature Holds the Key to Lower Costs

A year after the passage of the new federal health care law, fierce political debate continues, but here in Texas, provisions of the law are beginning to help consumers and businesses. Small business are claiming tax credits to help them cope with the rising cost of coverage, and families won’t see their adult children kicked off the family health insurance plan just because they graduate from college or turn 21.

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News Release | TexPIRG | Health Care

Bipartisan Health Care Fix Wins Obama Endorsement

The bipartisan Empowering States to Innovate Act (S. 248), which enables states to develop inventive policy solutions to the rising costs and dysfunctional insurance markets that plague our health care system, is a win-win for consumers and small businesses in states across the country.

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News Release | TexPIRG | Health Care

Effective State Exchange Key to Lower Health Costs for Texas Consumers

Texas 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 TexPIRG.

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News Release | TexPIRG | Health Care

Senate Defeats Health Care Repeal

Opponents of last year's health care reform law were defeated in the Senate today in their attempt to attach a health care repeal amendment to a bill about the Federal Aviation Administration. Passage of the repeal amendment would have driven health care costs for American consumers and businesses sky-high.

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Report | TexPIRG | Health Care

The Small Business Dilemma

 

When it comes to health care, American small business owners are getting a raw deal. While the current insurance marketplace offers some options to larger employers, it too often leaves small business owners on the outside looking in. They face unpredictable changes in costs, and far too often they are forced to choose between covering employees and the very survival of their businesses.

 

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