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Reprinted from HEALTH PLAN WEEK (formerly Managed Care Week), the industry's leading source of business, financial and regulatory news of health plans, PPOs, and POS plans.

Charts on this Page:

Second-Quarter 2008 Financial Results of Publicly Traded Managed Care Companies
(for the period that ended June 30, 2008)

 

Net Income (Loss)
for Second-Quarter

Second-Quarter Income (Loss) per Diluted Share for

Medical Enrollment
on June 30,

Second-Quarter Medical-Cost Ratio for

Second-Quarter Administrative-Cost Ratio for

2008

2007

2008

2007

2008

2007

2008

2007

2008

2007

Aetna Inc.

$480.5 million

$451.3 million

$0.97

$0.83

17.5 million

17.5 million

81.9%

81.5%

17.9%

17.9%

AMERIGROUP Corp.

($162.5 million)1

$32.8 million

($3.07)1

$0.61

1.7 million

1.5 million

82.0%

83.1%

13.1%

12.1%

Assurant, Inc.

$190.0 million

$166.3 million

$1.59

$1.36

830,000

930,000

66.7%2

64.1%2

28.9%2

30.3%2

Centene Corp.

$18.0 million

$10.2 million

$0.41

$0.28

1.2 million

1.1 million

83.3%

83.6%

13.5%

14.4%

CIGNA Corp.

$272.0 million

$198.0 million

$0.97

$0.68

12.1 million

9.8 million

63.3%3

65.3%3

28.5%3

26.3%3

Coventry Health Care, Inc.

$3.0 million

$2.3 million

$0.55

$0.96

3.9 million

3.8 million

85.8%

79.6%

16.7%

19.0%

HealthSpring, Inc.

$40.2 million

$23.8 million

$0.72

$0.42

153,958

153,197

75.8%4

78.4%4

9.9%4

11.4%4

Health Net, Inc.

$76.7 million

$92.0 million

$0.71

$0.82

6.7 million

6.8 million

85.3%5

84.7%5

12.3%

12.3%

Humana Inc.

$209.9 million

$216.8 million

$1.24

$1.28

7.1 million

7.0 million

85.0%

83.4%

12.6%

13.0%

Molina Healthcare, Inc.

$16.5 million

$13.3 million

$0.59

$0.47

1.2 million

1.2 million

84.2%

85.1%

11.4%

10.9%

UnitedHealth

$337.0 million6

$1.2 billion

$0.276

$0.89

32.7 million

31.1 million

83.2%

80.3%

14.6%

13.7%

WellPoint, Inc.

$750.5 million

$835.2 million

$1.44

$1.35

35.3 million

34.8 million

84.2%

82.5%

14.5%

14.7%

1. AMERIGROUP incurred a one-time charge of $234.2 million, or $199.2 million net of the estimated tax effect, related to a civil whistle-blower litigation settlement. Excluding the impact of this charge, second-quarter net income would have been $36.7 million, or $0.68 per diluted share.

2. Ratios are for Assurant Health only.

3. Ratios are for CIGNA HealthCare business unit.

4. Ratios are for Medicare products only.

5. Ratio excludes TRICARE contract.

6. Includes pretax operating costs of $922 million ($0.47 per share after tax) for settlement of two class-action lawsuits related to United’s historical stock-option practices and related legal costs, and $46 million ($0.02 per share after tax) for employee severance related to operating-cost reduction initiatives and other items, partially offset by a $185 million ($0.09 per share after tax) reduction in operating costs for proceeds from the sale of certain assets and membership in the individual Medicare Advantage business in Nevada in May 2008.

SOURCE: Compiled by Atlantic Information Services, Inc. from company financial reports.


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First-Quarter 2008 Financial Results of Publicly Traded Managed Care Companies
(for the period that ended March 31, 2008)

Net Income (Loss)
for First Quarter

First-Quarter Income (Loss) per Diluted Share for

Medical Enrollment on March 31

First-Quarter
Medical-Cost
Ratio for

First-Quarter Administrative-Cost Ratio for

2008

2007

2008

2007

2008

2007

2008

2007

2008

2007

Aetna Inc.

$431.6 million

$434.6 million

$40.85

$0.81

17.5 million

15.7 million

81.3%

80.7%

18.0%

18.0%

AMERIGROUP Corp.

$35.0 million

$21.3 million

$0.65

$0.40

1.7 million

1.3 million

82.1%

83.4%

13.3%

12.7%

Assurant, Inc.

$186.8 million

$179.5 million

$1.57

$1.45

838,000

917,000

61.8%1

62.0%1

31.1%1

30.9%1

Centene Corp.

$25.52 million

$11.6 million

$0.592

$0.26

1.2 million

1.1 million

83.0%

84.6%

12.5%

13.0%

CIGNA Corp.

$58.0 million3

$289 million

$0.213

$2.93

10.4 million

9.8 million

83.8%4

83.3%4

27.8%5

25.4%5

Coventry Health Care, Inc.

$125.0 million

$121.7 million

$0.81

$0.76

3.4 million

3.4 million

82.5%

81.9%

17.3%

16.5%

HealthSpring, Inc.

$21.1 million

$14.1 million

$0.37

$0.25

165,0006

137,000

79.6%7

81.2%7

11.4%

13.3%

Health Net, Inc.

($35,680)8

$88.6 million

($0.33)

$0.77

3.9 million

3.8 million

88.5%9

84.3%9

11.2%

13.2%

Humana Inc.

$80.2 million

$71.2 million

$0.47

$0.42

8.2 million

7.8 million

86.7%

86.8%

13.8%

13.5%

Molina Healthcare, Inc.

$13.2 million

$9.6 million

$0.46

$0.34

1.2 million

1.1 million

85.8%

85.7%

10.6%

11.3%

Triple-S Management Corp.

$1.2 million

$4.5 million

$0.04

$0.17

985,281

975,704

90.2%

N/A

10.1%

11.4%

UnitedHealth Group

$994 million

$927 million10

$0.78

$0.66

29.9 million

28.5 million

82.4%

82.7%

14.3%

14.0%

WellPoint, Inc.

$588 million

$783.1 million

$1.07

$1.26

35.4 million

34.9 million

85.1%

83.1%

14.6%

14.4%

N/A = Not available
1 Ratios are for Assurant Health only.
2 Results include the benefit of the July 1 through Dec. 31, 2007, rate increase for Georgia, approximately 28 cents per share
3 Reduction in net income is partly due to a $131 million loss in its guaranteed minimum income benefits (GMIB) business resulting from CIGNA’s use of a new accounting rule. CIGNA valued assets and liabilities of one of its businesses using a Financial Accounting Standards Board rule (FAS 157).
4 Ratios are for commercial risk products, excluding voluntary/limited benefit business. Ratios are for CIGNA HealthCare business unit.
5 Ratios are for health plan business only.
6 HealthSpring acquired Leon Medical Centers Health Plans on Oct. 1, 2007. As of the acquisition date, the health plan had approximately 25,800 members.
7 Ratio is for Medicare products only
8 The figure is for after Health Net recorded $82.4 million in legal and operations strategy-related charges in the first quarter of 2008.
9 Ratios exclude TRICARE enrollment.
10 United’s first-quarter 2007 net income figures include a one-time venture-capital gain of $51.7 million
Note: On May 13, WellCare Health Plans, Inc. added its first-quarter 2008 results to the list of late filings with the Securities and Exchange Commission due to an ongoing federal investigation. The only new data reported in the company’s proxy statement was medical enrollment, which was 1.4 million as of March 31, 2008, up from 1.3 million on the same date a year ago. 

SOURCE: Compiled by Atlantic Information Services, Inc. from company financial reports.

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Fourth-Quarter 2007 Financial Results of Publicly Traded Managed Care Companies (for the period that ended Dec. 31, 2007)
Net Income (Loss)
for Fourth-Quarter
Fourth-Quarter Income (Loss) per Diluted Share for Medical Enrollment on Dec. 31, Fourth-Quarter Medical-Cost
Ratio for
Fourth-Quarter Administrative-Cost Ratio for
2007 2006 2007 2006 2007 2006 2007 2006 2007 2006
Aetna, Inc. $448.4 million $434.1 million $0.87 $0.80 16.8 million 15.4 million 79.2%1 79.8%1 19.0% 19.4%
AMERIGROUP Corp. $31.1 million $29.9 million $0.57 $0.56 1.7 million 1.3 million 82.9% 80.4% 13.1% 14.2%
Assurant, Inc. $120.8 million2 $252.5 million2 $1.01 $2.01 871,000 935,000 62.0%3 63.3%3 29.5%3 30.3%3
Centene Corp. $14.7 million $13.8 million $0.03 $0.31 1.4 million 1.3 million 84.0% 82.1% 14.3% 12.8%
CIGNA Corp. $263 million $232 million $0.93 $0.76 10.1 million 9.4 million 84.6%4 83.9%4 27.3%5 26.3%5
Coventry Health Care, Inc. $184.3 million $156.1 million $1.18 $0.97 4.0 million 2.5 million 78.1%6 78.3%6 18.1% 13.0%
HealthSpring, Inc. $26.2 million $20.1 million $0.46 $0.35 153,1977 143,000 78.1%8 79.6%8 11.7% 14.5%
Health Net, Inc. $123.4 million $84.8 million8 $1.10 $0.76 6.6 million 6.3 million 82.6%9 82.9%9 10.5% 13.3%
Humana Inc. $243.3 million $155.0 million $1.43 $0.92 7.9 million 7.7 million 80.3% 83.2% 16.0% 14.7%
Molina Healthcare, Inc. $17.9 million $10.7 million $0.63 $0.38 1.1 million 1.1 million 83.6% 85.1% 11.8% 11.1%
UnitedHealth Group $1.2 billion $1.1 billion $0.92 $0.84 27.9 million 28.6 million 79.9%10 80.0%10 14.4% 15.0%
WellPoint, Inc. $859.1 million $801.1 million $1.51 $1.28 34.8 million 34.1 million 82.9% 81.0% 13.8% 15.7%
1 Ratio is for all medical and dental risk products.
2 Includes $27 million of after-tax realized losses from other than temporary impairments in the investment portfolio. Includes a $63.9 million after-tax gain from the sale of Private Healthcare Systems, Inc. and $40.5 million of after-tax income from a legal settlement.
3 Ratios are for Assurant Health only.
4 Ratios are for commercial risk products, excluding voluntary/limited benefit business.
5 Ratios are for CIGNA HealthCare business unit.

6 Ratios are for health plan business only.
7 HealthSpring acquired Leon Medical Centers Health Plans on Oct. 1, 2007. As of the acquisition date, the health plan had approximately 25,800 members
.
8 Ratio is for Medicare products only
9 Ratios exclude TRICARE enrollment
10 Ratio is for all risk-based business and products
NOTE: WellCare Health Plans, Inc. was omitted from this table because it has delayed reporting full financial and operating data for the fourth quarter of 2007 in light of an ongoing investigation by federal and state agencies. Sierra Health Services, Inc.’s fourth-quarter 2007 financial data had not been released as of HPW’s press time. Sierra’s acquisition by UnitedHealth Group was approved on Feb. 25. SOURCE: Compiled by Atlantic Information Services, Inc. from company financial reports.

Third-Quarter 2007 Financial Results of Publicly Traded Managed Care Companies (for the period that ended Sept. 30, 2007)
 
Net Income (Loss) for Third-Quarter 
 Third-Quarter Income (Loss) per Diluted Share for
Medical Enrollment on Sept 30,
Third-Quarter Medical-Cost Ratio for
Third-Quarter Administrative- Cost Ratio for
2007
2006
2007
2006
2007
2006
2007
2006
2007
2006

Aetna, Inc.

$496.7 million

$476.4 million

$0.95

$0.85

16.6 million

15.4 million

79.4%

78.8%

18.2%

18.4%

AMERIGROUP Corp.

$31.2 million

$24.6 million

$0.58

$0.46

1.5 million

1.2 million

82.9%

81.7%

12.6%

13.0%

Assurant, Inc.

$187.2 million

$151.3 million

$1.56

$1.18

910,000

954,000

63.5%1

62.4%1

29.3%1

29.1%1

Centene Corp.

$15.9 million

($71.2 million)2

$0.36

($1.65)2

1.1 million

1.2 million

81.5%

84.4%

11.0%

10.4%

CIGNA Corp.

$365 million

$298 million

$1.28

$0.92

10.2 million

9.3 million

83.0%3

85.6%3

27.2%4

27.1%4

Coventry Health Care, Inc.

$168.7 million

$147.5 million

$1.08

$0.92

3.9 million

3.4 million

79.0%

78.6%

18.7%

16.9%

HealthSpring, Inc.

$22.4 million

$31.1 million

$0.39

$0.54

139,000

148,000

81.8%5

75.7%5

11.0%

11.0%

Health Net, Inc.

($103.8 million)6

$90.9 million

($0.93)6

$0.76

6.3 million

6.3 million

89.8%7

82.9%7

18.6%

13.3%

Humana Inc.

$302.4 million

$159.2 million

$1.78

$0.95

7.9 million

7.9 million

81.3%

84.1%

13.3%

13.1%

Molina Healthcare, Inc.

$17.5 million

$12.3 million

$0.62

$0.44

1.0 million

1.0 million

83.7%

84.1%

11.7%

11.7%

Sierra Health Services, Inc.

$34.6 million

$34.9 million

$0.59

$0.56

877,000

839,000

81.7%

77.3%

9.5%

12.6%

UnitedHealth Group

$1.3 billion

$1.1 billion

$0.95

$0.80

28.6 million

28.3 million

79.5%

81.1%

14.0%

13.5%

WellPoint, Inc.

$868.0 million

$810.8 million

$1.45

$1.29

34.8 million

34.2 million

81.8%

81.3%

14.6%

15.5%

1 Ratios are for Assurant Health only.
2 Third-quarter 2006 figures include a one-time charge of $87.1 million related to the loss of Centene's Kansas Medicaid contract.
3 Ratios are for commercial risk products, excluding voluntary/limited benefit business.
4 Ratios are for CIGNA HealthCare business unit.
5 Ratio is for Medicare products only.
6 Third-quarter 2007 figures include a one-time charge of $296.8 million related to the settlement of class-action litigation, regulatory matters and other legal expenses. The charge also drove up Health Net's medical cost ratio for the most recent period.
7 Ratios exclude TRICARE enrollment.
NOTE: WellCare Health Plans, Inc. was omitted from this table because it has delayed reporting full financial and operating data for the third quarter of 2007 in light of an ongoing investigation by federal and state agencies.
SOURCE: Compiled by Atlantic Information Services, Inc. from company financial reports.





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