Anthem premium increase in Maine may be cut, judge says

NEWS IN BRIEF — Posted May 3, 2010

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

State regulators may reduce Anthem Blue Cross Blue Shield of Maine's proposed premium increase for individual health plans, a judge has ruled.

Maine Superior Court Judge Thomas Humphrey on April 22 upheld Insurance Superintendent Mila Kofman's decision to reduce a 2009 premium increase by the WellPoint-owned plan down to 10.9% from the requested 18.1%. That increase became effective July 1, 2009.

Anthem, which covers 71% of the state's insured residents, said it needed the 18.1% increase to cover costs and a 3% profit margin. But Humphrey said Maine law does not "expressly entitle insurers to a mandated profit margin."

The company said it was reviewing the decision, and at this article's deadline had not decided whether to appeal. Anthem said in a statement that premium rates need to be sufficient to cover costs and "allow for an adequate risk margin to cover unanticipated costs."

Anthem has requested a 23% increase in premiums for its individual plans beginning in July 2010. That request is pending.

Note: This item originally appeared at

Back to top



Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story

Read story


American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story

Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story

Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story

Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story

Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story

Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story

Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story

  • Stay informed
  • Twitter
  • Facebook
  • RSS
  • LinkedIn