FROM THE FOUNDATION

End-of-Life Choices

Trends in end-of-life care show that not only does the care given vary widely from region to region and hospital to hospital, but also patients often don't get the care they prefer. What can be done?

Care Management Puzzle

Chronic diseases and the cost of care are rising. Are disease management programs improving outcomes for patients with complex, chronic conditions?

No Middleman

Under the "direct primary care" model, patients pay a monthly fee for basic medical services. Learn about the history and current landscape of physician practices offering this arrangement.

Insurance and Uninsured

Friday, October 19, 2012

Managed Risk Medical Insurance Plan To Cut Premiums in 2013

On Wednesday, the Managed Risk Medical Insurance Board voted to decrease members' premiums by an average of 12% next year, the Sacramento Business Journal reports.

Background

The Managed Risk Medical Insurance Program is a state insurance plan for people who cannot obtain health insurance because of their health condition. The program, along with the Pre-Existing Condition Insurance Plan, is set to end when the new California Health Benefit Exchange launches in 2014.

Program officials were considering an average rate increase of almost 10% for MRMIP members. However, Gov. Jerry Brown (D) last month signed a bill (AB 1526) -- by Assembly member Bill Monning (D-Santa Cruz) -- that allows the program to subsidize rates to help keep individuals from leaving the plan because of premium changes (Robertson, Sacramento Business Journal, 10/18).

AB 1526 allows the board to subsidize premiums for program members at no less than 100% of comparable rates for the individual insurance market and prohibits the amount of subsidies from affecting the calculation of premiums (California Healthline, 10/2).

MRMIP premiums are supplemented with revenue from the Proposition 99 tobacco tax hike.

Details of Rate Cut

Under the premium decrease, a single MRMIP member between the ages of 40 and 44 who lives in the Sacramento area and is covered by Kaiser Permanente will pay $452 monthly in 2013, compared with $504 in 2012. A similar member who is covered by Anthem Blue Cross will pay $670 monthly in 2013, compared with $756 this year.

A single MRMIP member between the ages of 60 and 64 who lives in the Sacramento area and is covered by Kaiser Permanente will pay $727 monthly in 2013, compared with $811 in 2012. A similar member covered by Anthem Blue Cross will pay $1,246 monthly in 2013, compared with $1,558 this year (Sacramento Business Journal, 10/18).



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