Tag Archives: Angela Braly

The Marie Antoinette Of Health Insurance & How To Dethrone Her

The Marie Antoinette of Health Insurance

Two years ago, as federal health reform lay on death’s door, CEO Angela Braly, head of Blue Cross’s parent company Wellpoint, spit on beleaguered patients. She sat through poignant Congressional testimony from customers whose lives were being ruined by spiraling premium hikes, then Braly testified that the public outrage was “a triumph of sound bites over substance.”

The CEO’s arrogance and Anthem Blue Cross’s planned 39% rate hike were enough to revive federal reform in the court of public opinion. The federal law passed, but failed to give California the power to reject unreasonable rate hikes.

That’s why, on May 1, one million Californians began paying hundreds of millions of dollars more for their health insurance. It’s a plot right out of Groundhog Day, only it happens every Spring, Winter, Summer and Fall.

Recently Braly, the health insurance world’s Marie Antoinette, was at it again, only in a more intimate setting. On a conference call with shareholders she attacked a pending rate regulation ballot measure in California as unnecessary because she said federal reform was all patients needed. In other words, Braly’s advice for the one million who face a choice between paying for food or health insurance: Let ’em eat cake.

Want to fight back?  The final signatures are being collected in the next couple of days to submit 800,000 signatures for a ballot petition taking power from Braly and the other monarchs of health insurance to raise rates whenever they want without any justification.

Californians can download and sign the ballot petition at JustifyRates.org and vote in November to require Anthem Blue Cross and other health insurance companies to get permission before they raise rates.  But voters have to sign today in order to mail back the ballot petition in time to have theirs’ delivered with the other 800,000 Californians demanding this change.

Health insurance rates are like a runaway train and there’s no police force or firefighting squad with the power to stop them.  Thirty-five states require health insurance companies to get permission before raising rates, but not California.

Patients pay the price.

In Studio City, a self-employed single mom watched her health insurance premium triple over the last decade. On May 1st the price climbed by 16%. She asks,” If I have to get pre-approval from my insurance company every time I want my health care paid for, shouldn’t they have to get approval when they want me to pay more?”

For a decade the legislature has answered no, arguing, exactly as Braly does, that the market and federal health care reform can be trusted to moderate rates.   We can see how well enlightened despotism has worked in health care.

Over the last decade health insurance premiums have shot up 153% — growing five times the rate of inflation (29%). Four companies, including Anthem Blue Cross, control 71% of the health insurance market – competition isn’t in the cards. As a result Californians don’t just move to cheaper plans, they also drop insurance. California has one of the nation’s highest uninsured rates.

Since 2003, the California legislature has refused to pass a law requiring that health insurance companies get approval before raising rates in the same way that auto insurance and home insurance companies have to today.  That insurance company lobbying power is why consumer advocates like myself have joined with Sen. Dianne Feinstein and Insurance Commissioner Dave Jones to qualify the ballot measure that requires health insurance companies to live up to the same standards as other insurance companies.

It’s high time to dethrone Braly and the other health insurance monarchs who are accountable to no patient and no insurance commissioner in the state of California.  They raise rates because they can, not because it’s necessary.  800,000 California voters are about to take on Braly’s “Let ’em eat cake” corporate views.  Act now and you can be with us.

WellPoint Still Doesn’t Get It

If you want to understand why Americans are so outraged by obscene executive compensation levels in a time of severe economic malaise, consider not just the 51% bump awarded to WellPoint CEO Angela Braly for her performance at a time when the insurance behemoth prepared to raise rates on policyholders in California by as much as 39%.  Consider, as well, the pro forma excuses offered by her company flacks.

According to the Los Angeles Times, Braly’s total compensation shot up from $8.7 million to $13.1 million last year.  At least three other executives there did just as well, with raises of up to 75 percent.  Meanwhile, 800,000 individual policyholders in California are learning of this good news for WellPoint executives a month before their own insurance rates are set to spike by double digits – an unprecedented rate increase initiated on Angela Braly’s watch.

WellPoint, of course, is merely doing what it must to pursue the gold standard of excellence in its service to shareholders and customers, according to company spokesman Jon Mills:

“WellPoint wants to attract and retain top talent.  In order to be the best, to be innovative, to continue delivering the best service, we do have to retain the best quality.”  He added: “We are in no way trying to inflate the salaries and compensation figures but trying to maintain a high level of talent at the organization.”

It’s all just a big misunderstanding, see.  The problem is that all of us amateur, casual observers, with our pious concerns about “fairness” and “right and wrong,” just don’t understand the entirely rational and ultimately equitable dynamics of the free market system for labor compensation.  Companies have to find and keep talented leaders, and if it takes $6.2 million in restricted stock, a $1.1 million salary increase, a $1.5 million performance bonus, $4 million in stock options and $292,036 in “other expenses” (including over $150,000 in “security-related improvements” to protect Angela Braly from us, the angry, overcharged, underinsured hordes) to retain a CEO who had the wisdom to force hundreds of thousands of Californians off the company’s rolls or into bankruptcy-threatening situations in order to buoy WellPoint stock prices (which rose by close to 40% last year), then that’s just how the free market works, which is nobody’s fault, really, when you think about it.

Except the reality is, there is no misunderstanding.  Ordinary Americans understand exactly how the free market works.  In fact, it’s precisely this understanding that infuriates everyone from your longtime local union activist to your freshly-minted Tea Party revolutionary.  It’s the Jon Millses of the world that don’t get it.  Their explanations illuminate nothing, except insofar as they confirm exactly what everyone suspects: that there are in fact two economic realities in America today – one that Angela Braly occupies along with Wall Street CEOs, corporate lobbyists and corrupt politicians, and the other that the rest of us experience.

In the former, forcing hundreds of thousands of everyday people to spend thousands more on their premiums to pay for the mess you’ve made of the healthcare system, then pointing to the increased revenue as proof of your leadership and profit-making abilities, is called “taking responsibility” and is rewarded with a $4.4 million raise.  It’s market meritocracy at work.

In the latter, it really doesn’t matter how hard you work or how great of a job you do — if the executives at the helm steer your company over rocky shoals, you stand a good chance of losing your wage increases, your benefits, or your job altogether.  If you’re not “top talent,” you simply don’t need to be “attracted and retained.”  The world doesn’t work that way for you.  Or to take another example, if the executives at your insurance carrier decide they didn’t make enough money last fiscal quarter, you better cough up thousands of dollars more this year or lose your coverage.  Never mind that you had exactly nothing to do with WellPoint’s problems with rising medical costs, or its shareholder’s demands for 40% increases in their stock values.  It really doesn’t matter who you are or what you’ve done or what you haven’t done; you don’t control your destiny, the “market” does.  That’s just basic economics.  We don’t need a WellPoint spokesman to explain that; everyone knows it already.  With the economy in turmoil, we’re all getting our noses rubbed in it every single day.

What’s incredible is that even after witnessing the public’s reactions to the taxpayer-financed AIG bonuses, the auto company CEOs flying on private jets to DC to beg Congress for bailouts, and Goldman Sachs’ record profits a year after benefiting from $62 billion in publicly-financed AIG pass-throughs, corporate executives like Braly and their PR handlers still can’t comprehend the outrage.  But then, that points to something else we already know: that from a mansion on a hill, the riot below can sound like a distant and dull roar, or like nothing at all.