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AG urges R.I. health insurance commissioner to reject proposed premium hikes

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AG urges R.I. health insurance commissioner to reject proposed premium hikes


Rhode Island Attorney General Peter Neronha repeated his calls to fix the state’s ailing health care system in a memo opposed to proposed health insurance premium hikes. The memo also contained thoughts on the subpar funding and financials of Rhode Island’s hospitals, which Neronha also discussed at length during a Health Care Summit at the Rhode Island State House on May 28, 2024, seen here. (Alexander Castro/Rhode Island Current)

Deny, deny, deny: That’s what Rhode Island Attorney General Peter Neronha is asking the state’s health insurance commissioner to do with the premium hikes requested by a half dozen Rhode Island insurance companies for 2025.

Neronha’s office shared on Tuesday a letter to Cory King, who leads the state’s Office of the Health Insurance Commissioner (OHIC). In his letter, Neronha asks the commissioner to reject health insurers’ requested increases that “range from an arguably modest 2.5% to an astronomical 22.7%.”

Earlier this month, Neronha issued a memo opposing proposed 2025 rates by Blue Cross Blue Shield of Rhode Island, the only individual market insurer who submitted an increase more than 10% higher. Neronha’s latest critique is a blanket rejection of proposed increases for small- and large-group plans from six insurance companies.

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Neronha being at odds with health insurers is nothing new — he recommended against requested rate hikes last year, too. King’s office approved most requested rates, albeit with a few percentage points shaved off, which still led to a savings of approximately $24 million. The commissioner is expected to release his office’s decision on this year’s proposed rates later this month.

The Office of Attorney General uses actuaries to analyze proposed rate increases and determine their feasibility. The health insurance commissioner also analyzes the rates, solicits public feedback and ultimately approves or denies the requested increases.

Neronha, whose job duties include consumer protection, wrote in his latest memo that actuarial recommendations might only scratch the surface of a deeper problem. 

“It is not the role of the Attorney General to simply advise whether the actuarial projections provided by an insurer can support requested rate increases; rather, it is incumbent upon the Attorney General to also determine whether such increases are warranted given the health care and economic landscape against which they are sought,” Neronha wrote. “[T]o put it bluntly, we have a system that is broken.”

Neronha pointed out in his memo that “despite significant collective” investment in the health care system, U.S. residents don’t get much bang for their buck, with life expectancy six years lower than in similar countries and subpar health outcomes for people of color. 

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Another systemic problem, specific to Rhode Island: The health insurance commissioner only had jurisdiction over about 15% of Rhode Islanders, thanks to what Neronha calls “the fractured nature of our regulatory scheme.” King’s office reviews rates for only certain kinds of insurance. Self-insured employers who offer insurance via the Employee Retirement Income Security Act of 1974 (ERISA) are exempt because federal law dictates those arrangements. 

Still, Neronha added in a footnote that some health insurers have started to use this office’s tips on methodology, such as changing the data sources used for calculating manual rates, tweaking risk adjustment calculations or calculating small group rates based on comparable data from Massachusetts rather than Pennsylvania.  

“Yet, even when robust actuarial methods are followed, rate increases continue,” Neronha wrote. 

In response to Neronha’s latest critique, Blue Cross reiterated its previous statement: Rising prescription drug costs and higher utilization of medical services in the post-pandemic age ultimately led Blue Cross to an operating loss of $26 million in 2023, wrote spokesperson Jeremy Duncan in an email Thursday.

Spokespeople for both Neighborhood Health Plan and UnitedHealthcare had no comment on Neronha’s memo. The latter had the priciest request overall, with a proposed 22.7% hike on small group market rates. 

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Neronha’s office did not respond to multiple requests for copies of its actuaries’ reports and recommendations.  

Any proposed rate increase over 10% requires review by the attorney general’s office, which is why Neronha targeted Blue Cross in his earlier comments and left alone Neighborhood, with its 5.6% increase. But the most expensive proposals — and the largest number of people whose premiums would be affected — are found in the proposed increases for small- and large-group plans offered by employers. 

Al Charbonneau, executive director of Rhode Island Business Group on Health (RIBGH), wrote in an emailed statement that the group “agrees with the Attorney General that our healthcare system, both in Rhode Island and across the country, is indeed broken…and we support the Attorney General’s call for more substantial changes.”

The rate increases should be rejected, Charbonneau wrote, as they contribute to an “unsustainable” and expensive situation for Rhode Island consumers. A recent brief from the group found that nearly 28% of median household income can now be attributed to Rhode Island’s commercial family premiums. 

“Our analysis shows that the delivery system is the major cause of increasing premiums, although all involved in the provision of services and insurance need to contribute more to affordability,” Charbonneau wrote. “RIBGH supports the idea of paying more to primary care physicians and nursing personnel but also calls for a thorough understanding of where the money was spent if it was not used to support nurses, for example.”

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Providence man arrested in connection to narcotics and firearms investigation | ABC6

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Providence man arrested in connection to narcotics and firearms investigation | ABC6


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PROVIDENCE, R.I. (WLNE) — Rhode Island State Police said a Providence man was arrested after police allegedly discovered multiple narcotics and a gun inside two residences on Sept. 23.

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47-year-old Joel Garcia was charged with possession with the intent to deliver over 1 kilogram of fentanyl, possession with the intent to deliver over 1 kilogram of cocaine, possession with the intent to deliver one ounce to one kilogram of methamphetamine, possession with the intent to deliver fentanyl, possession with the intent to deliver cocaine, possession with the intent to deliver methamphetamine, possession of a firearm while committing a controlled substance violation, unlawful possession of a firearm by a prohibited person, and distribution of a controlled substance in a school zone.

According to RISP, police received court-authorized search warrants for two residences in Providence in connection to a narcotics and firearms investigation.

Inside an apartment on Dresser Street, police allegedly seized 1.7 kilograms of fentanyl, 2.3 kilograms of cocaine, and 147 grams of methamphetamine.

Police also searched Garcia’s residence on Portland Street and allegedly seized one fully loaded pistol.

According to police, Garcia had allegedly used the apartment on Dresser Street to “store, package, and distribute large amounts of fentanyl, cocaine and methamphetamine.”

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Garcia was arrested and charged.

RISP, Providence police, Cranston police, North Providence police, Johnston police, the Drug Enforcement Administration, and the Rhode Island National Guard Counterdrug Program assisted in the investigation.





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The Ocean State’s Bond With Robert Redford

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The Ocean State’s Bond With Robert Redford


Millions have been mourning the death of a cinematic icon over the last week with the passing of Robert Redford at age 89.

The award-winning actor is arguably one of the most famous of all time. With over 70 films to his credit on screen and nine he directed throughout his career, Redford’s work in cinema stands out as some of the greatest.

Though only two of Redford’s movies were ever filmed in Rhode Island, the Oscar-winning actor has a deep connection with the Ocean State.

Redford’s Family Roots Near Rhode Island

Though no Redfords actually lived in Rhode Island, Robert’s family was longtime residents of Stonington, CT and several members were born in nearby Westerly, RI.

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READ MORE: ‘Sopranos’ Star Officially Becomes a Rhode Island Resident

Throughout Robert Redford’s childhood there were visits to his grandparents in Stonington, where his grandfather worked as a milkman.

Presumably this time in Stonington meant crossing the state line into Westerly on more than one occasion in his youth and perhaps led to his love of the Rhode Island seaside in later years.

Filming The Great Gatsby in Newport

During his career, Redford came to Newport in the 1970s to film The Great Gatsby at the historic Rosecliff Mansion. Decades later he returned to Rhode Island with the science fiction film The Discovery and even wrote a thank you letter to Newport,  praising their preservation efforts in the city.

READ MORE: HGTV Says You Need to Drive This Road in Newport

Though when he did ultimately settle in New England, Redford chose Weston, CT as his home for almost two decades. He purchased a home not too far from his close friend and fellow actor, Paul Newman.

Evan Agostini/Getty Images

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Rhode Island Honors Robert Redford

Rhode Island never forgot its ties to the beloved actor however. In 2002 Redford was asked to be the commencement speaker at Brown University and that same year Trinity Repertory Company awarded him a Pell Award for Lifetime Achievement in the Arts.

Just one of the many lifetime achievement awards Robert Redford would go on to accumulate during his illustrious career.

20 Stars Who Hail From Rhode Island

Rhode Island may be the smallest state in the nation, but it has been home to many celebrities. Though some have moved here, filmed here or attended school here, only a handful were actually born here. These are those celebrities.

Gallery Credit: Nancy Hall

Academy Award and Golden Globe Winners from Massachusetts

These Massachusetts natives have taken home some of Hollywood’s top honors.

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Gallery Credit: Michaela Johnson

30 Things To Do in Newport Any Time of Year

Newport has always been seen as a summer destination. Wealthy New Yorkers used to escape the city in the hotter months for this picturesque seaside spot and the label as a summer vacation destination began.

There are, however, plenty of things to do in this historic town in any season and we’ve found a few that you may want to try the next time you head to Newport.

Gallery Credit: Nancy Hall





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GoLocalProv | Sports | VIDEO: Providence’s Lassiter Scores 44-Yard TD in Vanderbilt’s Upset Over #11 South Carolina

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GoLocalProv | Sports | VIDEO: Providence’s Lassiter Scores 44-Yard TD in Vanderbilt’s Upset Over #11 South Carolina


Sunday, September 14, 2025

 

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Zell Lassiter
PHOTO: Via Vanderbilt

Providence’s Jamezell Lassiter had a big play on a huge stage on Saturday when Vanderbilt football upset #11 South Carolina. SEE 7:25 MARK.

Lassiter, who played for the Edgewood Eagles and the Mount Hope Cowboys and attended the San Miguel School in Providence, smoked the Gamecocks on a 44-yard touchdown score.

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Vanderbilt won 31-7 over No. 11 South Carolina, snapping a 16-game losing streak between the two programs. 

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Zell Lassiter PHOTO: Vanderbilt Athletics

In 2024, GoLocal sports columnist Robert McMahon wrote about Lassiter’s journey to the top Division I program:

His athletic skills impressed his San Miguel classmates. Flag football, soccer, basketball—Jamezell could do it all. He was a natural athlete.

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But the transformation of Zell, as he likes to be called, happened in the San Miguel classroom. 

READ MORE HERE

 

 

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