Dave Jones

Last week, the California Department of Managed Health Care approved the merger of Aetna and Humana. The move seemed unlikely after a hearing at which DMHC Director Shelley Rouillard expressed skepticism about how the deal could benefit consumers, noting especially Aetna’s history of serial unreasonable rate hikes ($39 million in excessive rates in just 8 months).

Yesterday in San Francisco, Anthem VP Jay Wagner and Cigna’s Tom Richards refused to commit to price reductions for California consumers if the $54 Billion deal for Anthem to buy Cigna is approved.

In fact, Anthem and Cigna’s executives could not provide any concrete examples of how the Anthem-Cigna merger would benefit consumers at the four-hour hearing into the merger I attended at the Department of Insurance.

Inadequate physician networks and out-of-network billing have cast an ugly shadow over the expanding healthcare market as more people have access to healthcare. Next Monday, the Department of Insurance will hold a hearing on new proposed regulations covering network adequacy and out-of-network billing in emergency services.